Organization
DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF WASHINGTON, PC
Active
Other names
DaVita Nephrology Partners
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY E. GABRIEL MD (OWNER/PRESIDENT)
(310) 536-2615
Entity
Organization
Contact information
Practice address
309 BRADLEY BLVD, SUITE 101, RICHLAND, WA 99352-4381
(541) 564-1810
(541) 564-1812
Mailing address
PO BOX 9429, BELFAST, ME 04915-9429
(303) 626-6239
(866) 917-5396
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7126378
—
WA
01
—
G8851020
MEDICARE GROUP NUMBER
WA
Enumeration date
06/25/2006
Last updated
12/01/2011
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