Individual
DR. EMMANUEL M YRUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(360) 794-7497
(360) 618-7662
Mailing address
PO BOX 646, MONROE, WA 98272-0646
(360) 794-7497
(360) 435-0509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00039096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202161
LIWA
WA
01
—
2160YR
BSWA
WA
05
—
8270373
—
WA
Enumeration date
06/03/2006
Last updated
01/19/2017
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