Organization
INTERNAL MEDICINE ASSOCIATES OF RICHLAND PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITZI M LUNDBERG (BILLING MANAGER)
(509) 628-2843
Entity
Organization
Contact information
Practice address
560 GAGE BLVD, SUITE 101, RICHLAND, WA 99352-8650
(509) 628-2843
(509) 628-3843
Mailing address
560 GAGE BLVD, SUITE 101, RICHLAND, WA 99352-8650
(509) 628-2843
(509) 628-3843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770793994
GROUP NPI
WA
Enumeration date
05/23/2007
Last updated
07/21/2010
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