Organization · Type 2 NPI
Robert Quackenbush MD PLLC
Specialist · Walla Walla, WA
NPI number
1043404163
Active
Practice location
40L W Poplar St
Walla Walla, WA 99362
Mailing address
PO Box 2102
Walla Walla, WA 99362-0102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MD00039975 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1043404163
Robert Quackenbush MD PLLC's National Provider Identifier is 1043404163, issued on Aug 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Walla Walla, WA. The record was last updated on Jan 28, 2008.