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: |