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Individual

EVERETT JAMES CROCKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHAI.IR.61593108

Contact information

Practice address
205 E SPOKANE FALLS BLVD, SPOKANE, WA 99202
(509) 368-6700
Mailing address
205 E SPOKANE FALLS BLVD, SPOKANE, WA 99202
(509) 368-6700

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PHAI.IR.61593108
WA

Other

Enumeration date
04/24/2026
Last updated
04/24/2026
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