WANDERMERE OCCUPATIONAL MEDICINE PLLC NPI 1295114346

NPI Information

WANDERMERE OCCUPATIONAL MEDICINE PLLC is an occupational medicine clinic center in Spokane, WA. WANDERMERE OCCUPATIONAL MEDICINE PLLC NPI is 1295114346. The provider is registered as an organization entity type.

The provider's business location address is:

309 E FARWELL RD
SUITE204
SPOKANE, WA
ZIP 99218-210
Phone: (509) 720-7452
Fax: (509) 466-4798

The provider's authorized official is Daniel J Depner .
The authorized official title is Clinic Director and has the following contact phone number (509) 879-0039.

The enumeration date for this NPI number is 5/22/2015 and was last updated on 10/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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