Provider Demographics
NPI:1134197122
Name:MCGEE, RICHARD (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:MCGEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21605 76TH AVE W
Mailing Address - Street 2:STE # 200
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7514
Mailing Address - Country:US
Mailing Address - Phone:425-775-1677
Mailing Address - Fax:425-778-1635
Practice Address - Street 1:21605 76TH AVE W
Practice Address - Street 2:STE # 200
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7514
Practice Address - Country:US
Practice Address - Phone:425-775-1677
Practice Address - Fax:425-778-1635
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00013072207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1559707Medicaid
WAA09153Medicare UPIN