Individual
DR. ANNA T DUFAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3003 TIETON DR, SUITE 240, YAKIMA, WA 98902-3679
(509) 453-7109
(509) 453-3659
Mailing address
3003 TIETON DR, SUITE 240, YAKIMA, WA 98902-3679
(509) 453-7109
(509) 453-3659
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00046611
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8457210
—
WA
Enumeration date
06/21/2006
Last updated
10/30/2007
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