Individual
TRENTON JOHN SPOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 EAST 19TH, SECOND FLOOR, THE DALLES, OR 97058
(541) 296-7585
Mailing address
29801 NE 254TH ST, PO BOX 369, YACOLT, WA 98675
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD22926
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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