Individual
GERALDINE Y GATMAITAN DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7425 WRIGLEY DR STE 101, PASCO, WA 99301-5292
(509) 546-8399
(509) 545-6842
Mailing address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 416-8849
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
053816
GA
208000000X
Pediatrics Physician
Primary
MD60002198
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207707713A
—
GA
05
—
207707713B
—
GA
Enumeration date
03/07/2006
Last updated
09/28/2020
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