Individual
TAMARA GARDUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3016 E 57TH AVE, #24, SPOKANE, WA 99223-7036
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00037060
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242680
DEPT OF LABOR AND INDUSTRIES
WA
01
—
0242682
DEPT OF LABOR AND INDUSTRIES
WA
05
—
8246373
—
WA
Enumeration date
06/29/2006
Last updated
11/23/2011
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