Individual
RICHARD JOSEPH PISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 S 336TH ST STE 500, FEDERAL WAY, WA 98003-8300
(206) 962-3535
Mailing address
19930 BALLINGER WAY NE, SHORELINE, WA 98155-1223
(425) 778-2220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00029486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00029486
STATE LICENSE
WA
Enumeration date
07/28/2008
Last updated
10/29/2019
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