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Individual

PETER E FERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
105 W 8TH AVE STE 6020, SPOKANE, WA 99204-2319
(509) 455-5050
(509) 789-6204
Mailing address
105 W 8TH, # 6020, SPOKANE, WA 99204
(509) 455-5050
(509) 789-6204

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD00022676
WA
207VG0400X
Gynecology Physician
Primary
MD00022676
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003160
WA
05
1003896
WA
Enumeration date
07/18/2006
Last updated
01/19/2021
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