Individual
NITISH JAGPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 GOETHALS DR, RICHLAND, WA 99352-3529
(509) 547-2204
(509) 542-8836
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD61116875
WA
Other
Enumeration date
04/24/2018
Last updated
06/30/2021
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