Individual
DR. RICHARD FLORIAN KOLEK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0770
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101276066
VA
208D00000X
General Practice Physician
0101276066
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2021
Last updated
06/25/2024
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