Organization
YAKIMA UROLOGY ASSOCIATES,PLLC
Active
Parent organization
YAKIMA UROLOGY ASSOCIATES, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
YAKIMA UROLOGY ASSOCIATES, PLLC
Authorized official
MR. RICHARD M CHANG (ADMINISTRATOR)
(509) 249-3900
Entity
Organization
Contact information
Practice address
100 E JACKSON AVE, STE 105, ELLENSBURG, WA 98926-3692
(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
—
—
Other
Enumeration date
11/21/2007
Last updated
03/22/2010
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