Richard Daifuku, MD

Individual provider Active NPI Research Study Specialist · Mercer Island, WA

NPI 1609115641 · NPPES record last updated Feb 12, 2013

Key facts

NPI
1609115641
Entity type
Individual (NPI type 1)
Primary specialty
Research Study Specialist 1744R1102X
License
MD00032649 (WA)
Practice address
9270 SE 36TH PL
Mercer Island, WA 98040
Phone
(206) 232-0061
NPI assigned
Feb 12, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00032649WAMDResearch Study Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X MD00032649 WA Yes

Addresses

Primary practice location

9270 SE 36TH PL
Mercer Island, WA 98040

Mailing address

9270 SE 36TH PL
Mercer Island, WA 98040
Phone (206) 232-0061

Other providers in Mercer Island, WA

All providers in Mercer Island, WA · Research Study Specialist in Washington

Sources for this page

Verify at the official NPI Registry.