Provider Demographics
NPI:1508972761
Name:SCHEFTER, ROBERT P JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:SCHEFTER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3800 SUMMITVIEW AVENUE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-2715
Mailing Address - Country:US
Mailing Address - Phone:509-249-5066
Mailing Address - Fax:509-249-5042
Practice Address - Street 1:1601 CREEKSIDE LOOP
Practice Address - Street 2:YAKIMA EAR NOSE AND THROAT
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-4882
Practice Address - Country:US
Practice Address - Phone:509-575-1000
Practice Address - Fax:509-225-2703
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00021558207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000193003Medicare PIN
E34873Medicare UPIN