Individual
ROBERT GEORGE DEICHERT II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 E WHEELER RD, MOSES LAKE, WA 98837-1820
(509) 765-5606
(509) 764-3244
Mailing address
660 S COOLIDGE ST, MOSES LAKE, WA 98837-1872
(509) 793-9715
(503) 764-3244
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
46964
MN
207P00000X
Emergency Medicine Physician
Primary
MD00016105
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022025
—
WA
Enumeration date
12/05/2005
Last updated
10/23/2019
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