Individual
DAVID MARCELINO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6710 W OKANOGAN PLACE, KENNEWICK, WA 99336
(509) 783-2000
(509) 783-2008
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00032746
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0284410
L&I
WA
05
—
1003872094
—
WA
Enumeration date
04/26/2006
Last updated
06/17/2015
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