Alejandro Troncoso, RD | |
411 Fortuyn Rd, Grand Coulee, WA 99133-8718 | |
(509) 633-1753 | |
Not Available |
Full Name | Alejandro Troncoso |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 411 Fortuyn Rd, Grand Coulee, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306500988 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86110323 (* (Not Available)) | Primary |
Provider Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265422935 PECOS PAC ID: 9335050285 Enrollment ID: O20040311000181 |
Provider Name | Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1184844185 PECOS PAC ID: 9335050285 Enrollment ID: O20061104000547 |
Mailing Address | Practice Location Address |
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Alejandro Troncoso, RD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: () - | Alejandro Troncoso, RD 411 Fortuyn Rd, Grand Coulee, WA 99133-8718 Ph: (509) 633-1753 |
Grace Ruth Heaton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-6373 | |
Jacie L Van Blaricom, DI Dietitian Medicare: Not Enrolled in Medicare Practice Location: 411 Fortuyn Rd, Grand Coulee, WA 99133 Phone: 509-633-1753 Fax: 509-633-1933 |