Individual
DR. REX VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 394-0610
Mailing address
751 NE BLAKELY DR, ISSAQUAH, WA 98029-6201
(425) 394-0610
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP60455082
WA
Other
Enumeration date
06/29/2011
Last updated
02/21/2019
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