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ALVA JACK CHILDRESS MD NPI 1467451906


NPI Information

NPI: 1467451906
Provider Name: ALVA JACK CHILDRESS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
101 W 8TH AVE
SUITE 1100
SPOKANE, WA
ZIP 99204
Phone: (509) 474-4060
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Alva Jack Childress, MD is an obstetrics gynecology in Spokane, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Alva Jack Childress, MD NPI is 1467451906. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

101 W 8TH AVE
SUITE 1100
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-4060
Fax: (509) 474-6198

The enumeration date for this NPI number is 7/18/2005 and was last updated on 5/3/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyMD114350MISSOURINo
2207V00000XObstetrics & GynecologyMD60096557WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.