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Individual

ROBERT EDWIN RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD,PHD

Contact information

Practice address
SEATTLE CANCER CARE ALLIANCE, 825 EASTLAKE AVENUE EAST, SEATTLE, WA 98109
(206) 288-1012
Mailing address
3812 ASHWORTH AVE N, SEATTLE, WA 98103-8119

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00033804
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4714
INTERNAL ID-MOTOR VEHICLE ID
05
8227886
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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