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Individual
RICHARD MASSEY
Active
Individual
RICHARD MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60696486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932591740
—
WA
01
—
P01726039
RR MEDICARE WVH
WA
Enumeration date
03/03/2015
Last updated
06/29/2022
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