Individual
RICHARD HOLT GASCOIGNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
(509) 459-1597
Mailing address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
(509) 459-1597
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301078995
MI
207Q00000X
Family Medicine Physician
Primary
MD00041912
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166912
DEPT. OF L & I
WA
05
—
8350050
—
WA
01
—
AB32999
MEDICARE GROUP
WA
01
—
G8868666
MEDICARE PTAN
WA
Enumeration date
06/03/2006
Last updated
03/07/2023
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