Individual
DR. MARIO DODDS ROSALES SIMANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-7015
Mailing address
PO BOX 800, 800 WEST MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-7015
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00021981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1087626
—
WA
Enumeration date
11/16/2005
Last updated
01/13/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us