Most Relevant Information
Provider Data
NPI Number: | 1003557901 |
Provider Name: | LAURA DARLENE DEWALD DO |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/05/2022 |
Last Updated: | 04/05/2022 |
Provider Practice Location
101 W 8TH AVE
SPOKANE
WA
992042307
Practice Location Phone/Fax
Phone: | 5096269900 |
Fax: |
Provider Mailing Location
101 W 8TH AVE
SPOKANE
WA
992042307
Provider Mailing Phone/Fax
Phone: | |
Fax: |