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NPI Code Detail

MEDICARE: PAUL A WARDROP M.D.

MEDICARE: PAUL A WARDROP M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist PhysicianMD60488613WA
2207Q00000XFamily Medicine PhysicianMD60488613WA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2G8970600OTHERWAMEDICARE W VALLEY MEDICAL GROUP - RENTON

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467714022
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL A WARDROP M.D.
Provider Business Mailing Address
First Line : 5109 SUMMITVIEW AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98908-2858
Country : US
Telephone Number : 509-907-6300
Fax Number :
Provider Business Practice Location Address
First Line : 5109 SUMMITVIEW AVE
Second Line :
City : YAKIMA
State : WA
Zip : 98908-2858
Country : US
Telephone Number : 509-907-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2012
Last Update Date : 04/11/2024

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Directions to “ PAUL A WARDROP M.D.” Practice Location

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