Individual
TERANCE R KORDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6312 E JAMIESON RD, SPOKANE, WA 99223
(509) 448-2381
Mailing address
6312 E JAMIESON RD, SPOKANE, WA 99223
(509) 448-2381
(509) 448-3720
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
025209-MD0001192
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1815505
—
WA
Enumeration date
11/07/2006
Last updated
07/08/2007
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