Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 25MA08122800 | NJ |
N | 2086X0206X | Surgical Oncologist | 45166 | AZ |
Y | 2086X0206X | Surgical Oncologist | A47782 | CA |
NPI | 1215901897 |
---|---|
Provider Name | Robert Allan Wascher |
First Address | Goodyear, AZ 85338-3007 |
Second Address | Goodyear, AZ 85338-3007 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2006 |
Last Update Date | 14/04/2016 |