Individual
CHRISTOPHER JOHN PANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 S MCCLELLAN ST STE 200, SPOKANE, WA 99204-2456
(509) 838-7100
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3568
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
8911101-1205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
8911101-1205
UT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD60974739
WA
Other
Enumeration date
04/09/2007
Last updated
09/14/2021
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