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Individual

RON POPLYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Mailing address
406 S 30TH AVE, SUITE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
264805-4406
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60207660
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
190246100
DEPT OF LABOR
UT
01
266523
ALTIUS
UT
01
68295
PEHP
UT
01
731714968RRN
EDUCATORS MUTUAL
UT
01
78900
HEALTHY U
UT
01
QMP00000336801
MOLINA
UT
Enumeration date
08/10/2006
Last updated
03/24/2011
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