Individual
ROBERTO ANTONIO SECAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE, SUITE 307, TACOMA, WA 98405-4499
(253) 627-1244
(253) 627-6576
Mailing address
1802 S YAKIMA AVE, SUITE 307, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-1244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00039344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0162477
DEPARTMENT OF L&I
WA
01
—
060068022
RAILROAD MEDICARE
WA
01
—
1300SE
REGENCE
WA
01
—
1708SE
REGENCE
WA
01
—
1800SE
REGENCE
WA
01
—
1802SE
REGENCE
WA
01
—
4767SE
REGENCE
WA
05
—
8279440
—
WA
Enumeration date
01/11/2007
Last updated
05/03/2011
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