PMG E WA – Family Medicine Physician, NPI 1831146968
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PMG E WA
462, Mirabile Lane, Liberty Trailer Park, Rosedale, Baltimore County, Maryland, 21224, United States
LIBERTY LAKE, WA 990190462
Phone: (509) 474-2072
Fax: (509) 474-6606
Type: Mailing
Providence Sacred Heart Medical Center and Children's Hospital, 101, West 8th Avenue, Spokane, Spokane County, Washington, 99204, United States
MOTHER GAMELIN CENTER 3RD FLR
SPOKANE, WA 992042307
Phone: (509) 474-2072
Fax: (509) 474-6606
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99019)
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