Individual
MARK E DIDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
605 E HOLLAND AVE, SUITE 200, SPOKANE, WA 99218-2225
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00029924
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8270985
—
WA
Enumeration date
08/15/2005
Last updated
12/12/2011
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