Basic Information
Provider Information
NPI: 1912155524
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ECHAIZ ARROYO
FirstName: JOSE
MiddleName: FERNANDO
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 560 GAGE BLVD
Address2: SUITE 203
City: RICHLAND
State: WA
PostalCode: 99352
CountryCode: US
TelephoneNumber: 5099423627
FaxNumber: 5099422268
Practice Location
Address1: 833 SWIFT BLVD
Address2:  
City: RICHLAND
State: WA
PostalCode: 99352
CountryCode: US
TelephoneNumber: 5099422360
FaxNumber: 5099422239
Other Information
ProviderEnumerationDate: 09/08/2008
LastUpdateDate: 04/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301092002MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RI0200X60323861WAN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207RI0200XMD60323861WAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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