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Individual
DR. PEDRO T. VIECO
Active
Individual
DR. PEDRO T. VIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00034305
WA
2085R0202X
Diagnostic Radiology Physician
MD00034305
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117421
L&I PROVIDER
WA
01
—
120222
L&I PROVIDER
WA
01
—
175981
L&I PROVIDER
WA
01
—
197515
L&I PROVIDER
WA
01
—
204124
L&I PROVIDER ID
WA
05
—
8199176
—
WA
01
—
P01279540
RR MEDICARE
WA
Enumeration date
01/05/2006
Last updated
02/09/2015
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