Organization
YAKIMA UROLOGY ASSOCIATES PLLC
Active
Other names
Yakima Urology Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC M RUUD (ADMINISTRATOR)
(509) 249-3910
Entity
Organization
Contact information
Practice address
2500 RACQUET LN, STE 150, YAKIMA, WA 98902-6114
(509) 249-3910
(509) 573-9527
Mailing address
2500 RACQUET LN, STE 150, YAKIMA, WA 98902-6114
(509) 249-3910
(509) 573-9527
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
601650432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49003689
RAILROAD MEDICARE PIN
WA
05
—
7091200
—
WA
Enumeration date
10/04/2005
Last updated
11/23/2009
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