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Individual

MR. RICHARD NORMAN HENEGAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3920 CAPITOL MALL DR SW, SUITE 400, OLYMPIA, WA 98502-8700
(360) 705-1259
(360) 705-2757
Mailing address
3920 CAPITOL MALL DR SW, SUITE 400, OLYMPIA, WA 98502-8700
(360) 705-1259
(360) 705-2757

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00029177
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1070986
WA
01
MD00029177
DEPT OF HEALTH
WA
Enumeration date
10/14/2005
Last updated
03/07/2023
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