Unknown Individual – Internal Medicine Physician, NPI 1447262910
Internal Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Highland Avenue, Clarkston, Asotin County, Washington, 99403, United States
SUITE A
CLARKSTON, WA 994032846
Phone: (509) 758-2343
Fax: (509) 758-0832
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99403)
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