Organization
PHILIP R HALVORSEN, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP ROY HALVORSEN M.D. (OWNER)
(509) 946-8696
Entity
Organization
Contact information
Practice address
969 STEVENS DR, SUITE 3A, RICHLAND, WA 99352-3525
(509) 946-8696
(509) 946-8646
Mailing address
969 STEVENS DR, SUITE 3A, RICHLAND, WA 99352-3525
(509) 946-8696
(509) 946-8646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00025724
WA
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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