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Individual

JON VERNON RITTENBACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13103 E MANSFIELD AVENUE, SPOKANE VALLEY, WA 99216-1642
(509) 892-2700
(509) 892-2740
Mailing address
PO BOX 3405, SPOKANE, WA 99220-3405
(509) 892-2700
(509) 892-2740

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00047839
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
690004824
RAILROAD MEDICARE
WA
05
7173305
WA
Enumeration date
01/30/2007
Last updated
02/17/2023
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