Unknown Individual – Family Medicine Physician, NPI 1558368571
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
State Veterans Home, 222, East 5th Avenue, Spokane, Spokane County, Washington, 99202, United States
SPOKANE, WA 992021394
Phone: (509) 344-5770
Fax: (509) 344-5795
Type: Mailing
East Mission Avenue, Greenacres, Spokane Valley, Spokane County, Washington, 99037-9510, United States
SPOKANE VALLEY, WA 992162710
Phone: (509) 928-0300
Fax: (509) 922-9241
Type: Location
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99202)
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