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Individual

ANDREA MEAD DOMINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763
Mailing address
1807 N HUTCHINSON RD, SPOKANE VALLEY, WA 99212-2444
(509) 456-7414
(509) 624-0763

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M-8263
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003663100
ID
05
8159071
WA
Enumeration date
10/05/2006
Last updated
07/31/2008
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