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Contact Information

JUAN A CORDERO JR, MD
1100 GOETHALS DR
3RD FLOOR
RICHLAND, WA99352-3304
 Phone: 509-942-3095
 Fax: 509-942-3097
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JUAN A CORDERO JR · (Male)

NPI Number 1669474151
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2005
Last updated 05/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WA License # MD00047531
  • NY Medicaid 02597148
  • WA Medicaid 8478687
  • WA Other 0237446 LABOR & INDUSTRIES
Hospital affiliation(s)
  • KADLEC REGIONAL MEDICAL CENTER - (Acute Care)
    888 SWIFT BLVD
    RICHLAND, WA 99352
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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