Individual
RICHARD ERNEST STANDAERT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6739
(253) 835-5511
Mailing address
1802 YAKIMA AVE STE 104, TACOMA, WA 98405-5303
(253) 426-6739
(253) 835-5511
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD60569917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066906
—
WA
Enumeration date
05/01/2006
Last updated
01/19/2024
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