Organization
PREMIER SCULPTING, PLLC
Active
Other names
Premier Lipedema Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R DANIEL HAGERTY MD (PRESIDENT)
(509) 904-9000
Entity
Organization
Contact information
Practice address
307 W 6TH AVE STE 104, SPOKANE, WA 99204-2540
(509) 904-9000
(509) 703-7799
Mailing address
307 W 6TH AVE STE 104, SPOKANE, WA 99204-2540
(509) 904-9000
(509) 703-7799
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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