Individual
DR. MOUSTAPHA DIMACHK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(095) 897-3790
(509) 897-5558
Mailing address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(095) 897-3790
(509) 897-5558
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD61595905
WA
Other
Enumeration date
07/27/2015
Last updated
09/20/2024
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