David Marcelino Sandoval
Rheumatology
6710 W Okanogan Place
Kennewick
, Washington 99336
David Marcelino Sandoval
Rheumatology
6710 W Okanogan Place
Kennewick
, Washington 99336
(509) 942-2268
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- David Marcelino Sandoval
- 560 Gage Blvd Suite 203
- Richland, WA
- Zip : 99352
- Fax : (509) 942-2268
- Phone : (509) 942-3627
Second Address
- David Marcelino Sandoval
- 6710 W Okanogan Place
- Kennewick, WA
- Zip : 99336
- Fax : (509) 783-2008
- Phone : (509) 783-2000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | MD00032746 | WA |
National Provider Identifier
| NPI | 1003872094 |
|---|---|
| Provider Name | David Marcelino Sandoval |
| First Address | Richland, WA 99352 |
| Second Address | Kennewick, WA 99336 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2006 |
| Last Update Date | 17/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0284410 | L&I (01) | WA |
| 1003872094 | (05) | WA |
| F75447 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.