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Individual

BARBARA R TRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
317 N BROAD ST, MEDICAL LAKE, WA 99022-8763
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004729
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8415911
WA
Enumeration date
05/12/2006
Last updated
11/25/2009
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