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Individual

DR. JOSE V CARNEIRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23869
AZ
207R00000X
Internal Medicine Physician
Primary
MD60547095
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
242960
OR
01
885371008
REGENCE BLUE CROSS
OR
Enumeration date
09/29/2005
Last updated
04/05/2017
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