Individual
RICHARD D EDGERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1420 AHTANUM RIDGE DR, UNION GAP, WA 98903-1839
(509) 454-7700
(509) 454-7710
Mailing address
1020 S 40TH AVE, STE A, YAKIMA, WA 98908-3800
(509) 823-4650
(509) 823-4652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034059
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8220840
—
WA
Enumeration date
08/03/2006
Last updated
11/09/2016
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