Individual
MR. RICHARD W SHALLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7425 WRIGLEY DR STE 204, PASCO, WA 99301-5292
(509) 547-0027
(509) 547-6946
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
(509) 542-3059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00024680
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020006991
MEDICARE RR
WA
05
—
1028083
—
WA
01
—
13040
L AND I
WA
Enumeration date
12/04/2006
Last updated
08/03/2020
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