Individual
JASON VERGNANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
Mailing address
801 S STEVENS ST, SPOKANE, WA 99204-2654
(509) 363-7788
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD6048104
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049531
—
WA
Enumeration date
05/24/2011
Last updated
04/09/2018
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