Individual
MR. SCOTT P MAYSTROVICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
(509) 482-1983
Mailing address
5625 N WALL ST, SPOKANE, WA 99205-6435
(509) 482-1982
(509) 482-1983
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034050
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010147569
REGENCE OF IDAHO
WA
01
—
0157424
LABOR & INDUSTRIES
WA
05
—
2026813
—
WA
01
—
2433MA
ASURIS
WA
01
—
P00021492
RAILROAD MEDICARE
WA
Enumeration date
08/24/2005
Last updated
07/08/2007
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