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Individual

DR. KERRIE J. SPOONEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3216 NE 45TH PL, SUITE 203, SEATTLE, WA 98105-4093
(205) 525-1168
(206) 525-1169
Mailing address
3216 NE 45TH PL, SUITE 203, SEATTLE, WA 98105-4093
(205) 525-1168
(206) 525-1169

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00044804
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8433757
WA
Enumeration date
10/19/2005
Last updated
09/07/2016
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