Organization
JAMES G. SACCOMANDO, JR, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES G SACCOMANDO JR. MD (DOCTOR)
(208) 866-8330
Entity
Organization
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
Mailing address
3916 N POTSDAM AVE # 61, SIOUX FALLS, SD 57104-7048
(208) 866-8330
(208) 213-1542
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807512200
—
ID
Enumeration date
07/30/2008
Last updated
01/20/2025
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