Organization
RICHMOND PEDIATRIC CLINIC INC. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C ERNST MD (SECTY/TREAS)
(206) 546-2421
Entity
Organization
Contact information
Practice address
357 NW RICHMOND BEACH RD, RICHMOND PEDIATRICS, SHORELINE, WA 98177
(206) 546-2421
(206) 542-9028
Mailing address
357 NW RICHMOND BEACH RD, RICHMOND PEDIATRICS, SHORELINE, WA 98177
(206) 546-2421
(206) 542-9028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00038513
WA
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7039175
—
WA
05
—
8253270
—
WA
Enumeration date
06/19/2006
Last updated
06/10/2015
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