Dustin Michael Iacobazzi Riecan, LMP
NPI #1528371887 in University Place, Washington
Provider Information
- NPI Number
- 1528371887
- Entity Type
- Individual
- Name
- Dustin Michael Iacobazzi Riecan, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Jul 15, 2010
- Last Updated
- Dec 22, 2011
Practice Location
- Address
- 8514 49TH ST W
- City
- University Place
- State
- Washington
- ZIP Code
- 98467
- Phone
- (253) 380-0434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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