Individual
PAUL A WARDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5109 SUMMITVIEW AVE, YAKIMA, WA 98908-2858
(509) 907-6300
Mailing address
5109 SUMMITVIEW AVE, YAKIMA, WA 98908-2858
(509) 907-6300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60488613
WA
208M00000X
Hospitalist Physician
MD60488613
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019823
—
WA
01
—
G8970600
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
06/11/2012
Last updated
04/11/2024
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