Individual
MARK ASHLEY HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107 E HOLLAND AVE, SPOKANE, WA 99218-1209
(509) 466-3960
(509) 466-9566
Mailing address
107 E HOLLAND AVE, SPOKANE, WA 99218-1209
(509) 466-3960
(509) 466-9566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200957
WA DEPT OF L&I
WA
01
—
0229080
WA DEPT OF L&I
WA
05
—
1124858
—
WA
Enumeration date
08/10/2005
Last updated
10/19/2009
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