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Individual

RICHARD M SICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
827 E COLONIAL AVE STE C, MOSES LAKE, WA 98837-4644
(509) 765-7462
(509) 765-7508
Mailing address
827 E COLONIAL AVE STE C, MOSES LAKE, WA 98837-4644
(509) 765-7462

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00039320
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8290843
WA
Enumeration date
08/13/2006
Last updated
09/06/2022
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