Individual
RICHARD J MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 S 11TH ST, SUNNYSIDE, WA 98944-2240
(509) 837-7722
Mailing address
PO BOX 719, SUNNYSIDE, WA 98944-0719
(509) 837-1617
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
24468
NC
208800000X
Urology Physician
51180
AZ
208800000X
Urology Physician
Primary
61647
TN
208800000X
Urology Physician
E-8938
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080427
—
AZ
05
—
8961719
—
NC
05
—
Q060435
—
TN
Enumeration date
07/12/2006
Last updated
03/07/2025
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