Individual
TY JOHN ROCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
12121 E. BROADWAY, BLDG 5B, SPOKANE VALLEY, WA 99206
(509) 921-9800
Mailing address
12121 E. BROADWAY, BLDG 5B, SPOKANE VALLEY, WA 99206
(509) 921-9800
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00020409
WA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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