Provider Demographics
NPI:1104814227
Name:SESTERO, ROBERT F (MD)
Entity type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:SESTERO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:820 S MCCLELLAN ST
Mailing Address - Street 2:#116
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2457
Mailing Address - Country:US
Mailing Address - Phone:509-838-4211
Mailing Address - Fax:509-838-4211
Practice Address - Street 1:820 S MCCLELLAN ST
Practice Address - Street 2:#116
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2457
Practice Address - Country:US
Practice Address - Phone:509-838-4211
Practice Address - Fax:509-838-6432
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-12
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00014617207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1780709Medicaid
WA1780709Medicaid