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Individual

ROBERT SIXTO DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1050 GILMORE, SUITE, RICHLAND, WA 99352
(509) 943-5300
(509) 943-5331
Mailing address
1050 GILMORE, SUITE, RICHLAND, WA 99352
(509) 943-5300
(509) 943-5331

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004234
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8359242
WA
Enumeration date
12/27/2005
Last updated
10/22/2012
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