Provider Demographics
NPI:1811179864
Name:VROMAN, RICHARD EDWARD
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:EDWARD
Last Name:VROMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N 54TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-3147
Mailing Address - Country:US
Mailing Address - Phone:509-961-9066
Mailing Address - Fax:509-966-5518
Practice Address - Street 1:101 N 54TH AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-3147
Practice Address - Country:US
Practice Address - Phone:509-961-9066
Practice Address - Fax:509-966-5518
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-01
Last Update Date:2007-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory