Organization
YAKIMA UROLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M CHANG (ADMINISTRATOR)
(509) 249-3900
Entity
Organization
Contact information
Practice address
2500 RACQUET LN, STE 100, YAKIMA, WA 98902-6114
(509) 249-3900
(509) 573-9539
Mailing address
2500 RACQUET LN, STE 100, YAKIMA, WA 98902-6114
(509) 249-3900
(509) 573-9539
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
601650432
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7069297
—
WA
01
—
CC9010
RAILROAD MEDICARE PIN
WA
01
—
CC9011
RAILROAD MEDICARE PIN
WA
Enumeration date
09/30/2005
Last updated
03/22/2016
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