Individual
MATTHEW R PIPPENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19 N 7TH ST, CHENEY, WA 99004-2220
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60600934
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/18/2014
Last updated
10/01/2015
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