Individual
JESUS N MARCELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
829 GOETHALS DR, RICHLAND, WA 99352-3529
(509) 547-2204
(509) 542-8836
Mailing address
PO BOX 1452, PASCO, WA 99301-1223
(509) 547-2204
(509) 542-8836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039738
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00039738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8327611
—
WA
Enumeration date
01/19/2006
Last updated
02/13/2017
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