Individual
DR. BARDOMIANO SANCHEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 252-6336
(509) 252-6337
Mailing address
15409 N FIRCREST CIR, SPOKANE, WA 99208-8243
(509) 466-6158
(509) 466-6158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00035747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8470353
—
WA
01
—
CG4026
MEDICARE RR GROUP
WA
01
—
G000362000
MEDICARE GROUP
WA
01
—
P00395897
MEDICARE RAILROAD
WA
Enumeration date
08/31/2006
Last updated
01/25/2008
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