Nathaniel A Vanvalin PA

NPI 1386821759 - Physician Assistant - 363A00000X

NPI Details
NPI 1386821759
Gender Male
Enumeration Date 01/28/2008
Last Updated 01/28/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
12606 E MISSION AVE
SPOKANE VALLEY WA, 99216-3421, US
Phone (800) 639-0579
Fax
Business Location
PO BOX 758701
BALTIMORE MD, 21275-8701, US
Phone (509) 924-6650
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Washington
License Number PA10004910
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According to our database, Nathaniel A Vanvalin PA NPI is 1386821759, taxonomy code is 363A00000X and license number is PA10004910, license state is located at Washington. Nathaniel A Vanvalin PA physically located at 12606 E Mission Ave, Spokane Valley WA, 99216-3421. NPI Number Nathaniel A Vanvalin PA has the Individual type.

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1386821759 NPI number is provided on an as is basis without warranty of any kind. 1386821759 is maintained by the National Plan & Provider Enumeration System. The contents of Nathaniel A Vanvalin PA are for informational purposes only.