Individual
DR. PHILIP ROY HALVORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 STEVENS DR, SUITE 3A, RICHLAND, WA 99352-3525
(509) 946-8696
(509) 946-8646
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352-3525
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD00025724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013452
—
WA
05
—
1120732
—
WA
01
—
1568474377
NPI
WA
Enumeration date
08/12/2006
Last updated
11/03/2016
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