Richard Allan Jensen JR. MD

NPI 1699728022 - Pediatrics - 2080P0202X

NPI Details
NPI 1699728022
Gender Male
Enumeration Date 05/18/2006
Last Updated 10/01/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
101 W 8TH AVE
SUITE 4300
SPOKANE WA, 99204-2307, US
Phone (509) 747-6707
Fax (509) 624-9186
Business Location
PO BOX 421
LIBERTY LAKE WA, 99019-0421, US
Phone (509) 474-6707
Fax (509) 624-9186
Taxonomy Code 2080P0202X
License State Idaho
License Number M-9469
Remove 1699728022 NPI Number

According to our database, Richard Allan Jensen JR. MD NPI is 1699728022, taxonomy code is 2080P0202X and license number is M-9469, license state is located at Idaho. Richard Allan Jensen JR. MD physically located at 101 W 8th Ave, Spokane WA, 99204-2307. NPI Number Richard Allan Jensen JR. MD has the Individual type.

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1699728022 NPI number is provided on an as is basis without warranty of any kind. 1699728022 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Allan Jensen JR. MD are for informational purposes only.