Doctor Name: | DAVID MARCELINO SANDOVAL |
NPI Number: | 1003872094 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00032746 |
Business Practice Address: | 6710 W Okanogan Place Kennewick, WA - 99336 |
Business Phone Number: | 5097832000 |
Business Fax Number: | 5097832008 |
Mailing Address: | 560 Gage Blvd, Suite 203 RICHLAND |
State: | WA |
Postal Code: | 99352 |
Phone Number: | 5099423627 |
Fax Number: | 5099422268 |
NPI Enumeration Date: | 04/26/2006 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RR0500X |
License Number: | MD00032746 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Rheumatology |
Taxonomy Definition: | An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |