Provider Demographics
NPI:1780645945
Name:WASHKO, RITA M (MD)
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:M
Last Name:WASHKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:451 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-2000
Mailing Address - Country:US
Mailing Address - Phone:480-965-3346
Mailing Address - Fax:480-965-8914
Practice Address - Street 1:451 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-2000
Practice Address - Country:US
Practice Address - Phone:480-965-3346
Practice Address - Fax:480-965-8914
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ33102207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine