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Organization
TRAIL MEDICAL, INC
Active
Organization
TRAIL MEDICAL, INC
Active
Other names
JEFFERY A TRAIL MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY A TRAIL MD (OWNER)
(509) 483-3155
Entity
Organization
Contact information
Practice address
42 E ROWAN AVE, SUITE A, SPOKANE, WA 99207-1212
(509) 483-3155
(509) 483-3270
Mailing address
42 E ROWAN AVE, STE A, SUITE A, SPOKANE, WA 99207-1212
(509) 483-3155
(509) 483-3270
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026145
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033424
WA LABOR AND INDUSTRIES
WA
05
—
1110717
—
WA
Enumeration date
12/06/2007
Last updated
09/09/2010
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