Individual
DR. JUAN A CORDERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 GOETHALS DR, 3RD FLOOR, RICHLAND, WA 99352-3304
(509) 942-3095
(509) 942-3097
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99337-5092
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD00047531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0237446
LABOR & INDUSTRIES
WA
05
—
02597148
—
NY
05
—
8478687
—
WA
Enumeration date
08/15/2005
Last updated
05/10/2021
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