NPI 1053366807

Spokane Ear Nose and Throat Clinic

Organisation Non-Pharmacy Dispensing Site Spokane, WA

Practice location

Address: 217 W Cataldo Ave, Spokane, WA 99201-2217
Phone: (509) 624-2326
Fax: (509) 744-3040

Authorised official

Name: Direndia Shackelford
Title: Managed Care Specialist
Phone: (800) 654-0889

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence MD00031255 (WA)

Other Non-Pharmacy Dispensing Site providers in Washington →

Registry record

NPI: 1053366807
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.