Individual
MIGUEL CERVANTES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 946-4611
Mailing address
PO BOX 60406, CORPUS CHRISTI, TX 78466-0406
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00046886
WA
Other
Enumeration date
09/06/2006
Last updated
11/16/2012
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