Individual
RAFAEL A GONZALEZ-VIZOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3455 S 344TH WAY, SUITE 210, FEDERAL WAY, WA 98001-9560
(180) 033-6861
(253) 838-6418
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(180) 033-6861
(253) 838-6418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00033490
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0213580
LIWA
WA
01
—
5971GO
BSWA
WA
05
—
8187320
—
WA
01
—
P00370054
RRGA
WA
Enumeration date
10/18/2006
Last updated
03/13/2020
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