Organization
KLAUS T GOTTLIEB MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KLAUS GOTTLIEB MD, PLLC (DOCTOR)
(509) 455-3453
Entity
Organization
Contact information
Practice address
12128 N DIVISION ST, STE 164, SPOKANE, WA 99218-1905
(509) 455-3453
Mailing address
122 N RAYMOND RD, STE 20, SPOKANE VALLEY, WA 99206-6832
(509) 926-1770
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00036894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146938
WA LABOR & INDUSTRIES
WA
05
—
7106198
—
WA
Enumeration date
02/21/2006
Last updated
08/22/2020
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