Individual
DAVID A BLOMGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000150
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8487605
—
WA
Enumeration date
12/21/2006
Last updated
05/09/2008
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