Organization
SICA FAMILY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M SICA MD (OWNER)
(509) 765-7462
Entity
Organization
Contact information
Practice address
1550 S PIONEER WAY, SUITE 200, MOSES LAKE, WA 98837-4613
(509) 765-7462
Mailing address
1550 S PIONEER WAY, SUITE 200, MOSES LAKE, WA 98837-4613
(509) 765-7462
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD39320
WA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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