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Hipolito Mance Custodio III, MD
Obstetrics & Gynecology Physician in Richland, Washington
NPI 1225244379

Hipolito Mance Custodio III is a Obstetrics & Gynecology Physician based in Richland, WA. Hipolito Mance Custodio III practices in Richland, WA and has the professional credentials of MD. The NPI Number for Hipolito Mance Custodio III is 1225244379 and holds a License No. MT186614 (Washington).

The current practice location address for Hipolito Mance Custodio III is 945 Goethals Dr, Richland, WA and can be reached out via phone at 509-942-2555 and via fax at 509-942-2340.

Location: 945 Goethals Dr, Richland, WA, 99352-9532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225244379
Provider Name
Hipolito Mance Custodio III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
945 Goethals Dr, Richland, WA, 99352-9532
Phone Number
509-942-2555
Fax Number
509-942-2340
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0249026 01 WA LABOR & INDUSTRIES
8544694 05 WA
institution
Provider Business Practice Location Address Details
Address
945 Goethals Dr
City
Richland
State
Washington
Zip
99352-3552
Phone Number
509-942-2555
Fax Number
509-942-2340
person
Provider Business Mailing Address Details
Address
945 Goethals Dr
City
Richland
State
Washington
Zip
99352-3552
Phone Number
509-942-2555
Fax Number
509-942-2340
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MT186614 (Pennsylvania)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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