Individual
JONATHAN SPITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 W 5TH AVE, SUITE 800, SPOKANE, WA 99204-2966
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036092891
IL
208600000X
Surgery Physician
Primary
MD60021449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092891
—
IL
05
—
8520751
—
WA
Enumeration date
03/24/2006
Last updated
06/13/2011
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