Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROMAN ANTIOQUIA
Active Sole ProprietorSpecialist · MOUNTLAKE TERRACE, WA
Registration Details
- NPI Number
- 1790186633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2014 (11.632406804802 yrs)
- Last Updated
- Sep 10, 2014
- License
-
MA60384227 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6808 220TH ST SWSUITE 203MOUNTLAKE TERRACE, WA, 980432187Browse WA providers · Browse ZIP 98043
- Phone
- 4257761056
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in MOUNTLAKE TERRACE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. MARK ALAN SILVER | MD | 1790869352 |
| STACY BERTSCH | LMP | 1760532717 |
| KAZUMI N AYRES | LMP | 1891846267 |
| MS. JENNIFER RION REARDON | LMP | 1538210315 |
| CAROL CRAMER | LMP | 1174679542 |
| GUINEVERE ILANA AMADEO | LMP. | 1033246293 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.