Individual
DR. DAVID ALLEN SPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 458-5800
(509) 473-7511
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M-15934
ID
2085R0202X
Diagnostic Radiology Physician
Primary
MD61176199
WA
2085R0202X
Diagnostic Radiology Physician
R7901
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189192
—
WA
05
—
389378601
—
TX
01
—
389378602
OTHER (MEDICAID CSHCN)
TX
Enumeration date
04/11/2012
Last updated
10/04/2021
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