Provider Information for 1043537103
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WILLIAM STANTON RICHERT
Sex: Male
NPI: 1043537103
Last Updated: 2010-04-29
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1043537103 | ||||||||
| Enumeration Date | 2010-04-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1337 VANCOUVER, WA 98666-1337 United States Phone: 360-993-3000 | Fax: | ||||||||
| Primary Practice Address | 6926 NE FOURTH PLAIN BLVD VANCOUVER, WA 98661-7369 United States Phone: 360-993-3000 | Fax: | ||||||||
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