Individual
CHARLES E BATAYOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
560 GAGE BLVD STE 101, RICHLAND, WA 99352-9531
(509) 942-3286
(509) 628-1354
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1118124
—
WA
01
—
172404
L & I
WA
Enumeration date
02/07/2006
Last updated
04/16/2021
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