Basic Information
| Provider Information | |||||||||
| NPI: | 1457794075 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DILL | ||||||||
| FirstName: | SARAH | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2811 TIETON DR | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989023799 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095758255 | ||||||||
| FaxNumber: | 5095775056 | ||||||||
| Practice Location | |||||||||
| Address1: | 1470 N 16TH AVE STE D | ||||||||
| Address2: | |||||||||
| City: | YAKIMA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 989021381 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5095746000 | ||||||||
| FaxNumber: | 5092252714 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/12/2013 | ||||||||
| LastUpdateDate: | 11/18/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | DR.0056579 | CO | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MD6109183 | WA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.