Individual
JEFFREY B CLODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 S MCCLELLAN, #LL10, SPOKANE, WA 99204
(509) 353-3973
(509) 838-8275
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00014911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1217009
—
WA
01
—
65719
L & I
WA
Enumeration date
04/28/2006
Last updated
05/30/2017
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