Individual
DR. ANISHA MARIE BOETEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
105 W 8TH AVE, SUITE 450E, SPOKANE, WA 99204-2302
(509) 474-6920
(509) 474-3014
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60648213
WA
2084P0800X
Psychiatry Physician
R-9498
IA
Other
Enumeration date
05/02/2012
Last updated
04/16/2021
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