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Individual

CHARLES A RICHERT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
413 LILLY RD NE, PROVIDENCE ST PETER HOSPITAL, OLYMPIA, WA 98506-5166
(360) 491-9480
(360) 459-4361
Mailing address
PO BOX 3941, SEATTLE, WA 98124-3941
(360) 459-7770
(360) 459-4361

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00035845
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8222333
WA
Enumeration date
03/21/2006
Last updated
07/08/2007
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