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Organization
PEDIATRIX MEDICAL GROUP
Active
Organization
PEDIATRIX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M SKARIN M.D. (MEDICAL DIRECTOR)
(509) 575-8026
Entity
Organization
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8026
(509) 577-5061
Mailing address
606 GORE RD, SELAH, WA 98942-9739
(509) 697-8726
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
AP30003108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
815
PROVIDER NO. FOR PMG
WA
Enumeration date
10/27/2006
Last updated
08/22/2020
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