Individual
ZIGA TRETJAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
780 SWIFT BLVD, SUITE 270, KADLEC CLINIC, GASTROENTEROLOGY, RICHLAND, WA 99352
(509) 942-3627
(509) 943-3280
Mailing address
9605 SANDIFUR PKWY, PASCO, WA 99301-8028
(509) 942-3627
(509) 547-0827
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
60113820
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053CQ
BLUE CROSS BLUE SHIELD
TX
01
—
0259824
LABOR & INDUSTRIES
WA
05
—
113447001
—
TX
05
—
8556128
—
WA
Enumeration date
03/05/2006
Last updated
07/05/2012
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