Individual
MARY ANNA CHIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-2448
(509) 482-2452
Mailing address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-2448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30922
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053356212
—
MT
05
—
1053356212
—
WA
05
—
8472086
—
WA
01
—
G000362000
MEDICARE GROUP
WA
Enumeration date
06/19/2006
Last updated
05/11/2011
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