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Individual

WICHIT SRIKUREJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
105 W 8TH AVE STE 7050, SPOKANE, WA 99204-2362
(509) 252-1711
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
A72022
CA
207RG0100X
Gastroenterology Physician
Primary
MD60236713
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A720220
CA
Enumeration date
07/21/2006
Last updated
08/14/2024
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