Individual
DR. ANDREW CECIL CASTRODALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1753
(509) 633-1930
Mailing address
411 FORTUYN RD, GRAND COULEE, WA 99133-8718
(509) 633-1911
(509) 633-3193
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034115
WA
207V00000X
Obstetrics & Gynecology Physician
MD00034115
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133946
L AND I
—
05
—
8221715
—
WA
Enumeration date
10/04/2005
Last updated
01/29/2018
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