Organization
KAI MORIMOTO MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN GANNON (PRACTICE MANAGER)
(509) 315-4415
Entity
Organization
Contact information
Practice address
12615 E MISSION AVE, SUITE 105, SPOKANE VALLEY, WA 99216-3060
(509) 315-4415
(509) 315-8304
Mailing address
12615 E MISSION AVE, SUITE 105, SPOKANE VALLEY, WA 99216-3060
(509) 315-4415
(509) 315-8304
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00036729
WA
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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