Individual
NATHAN WALTER PETAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(098) 382-5315
(509) 755-6580
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
(253) 459-8009
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD61269644
WA
Other
Enumeration date
04/08/2019
Last updated
02/17/2023
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