Individual
ANDREW THOMAS COLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 W 7TH AVE STE 232, SPOKANE, WA 99204
(509) 455-8820
(509) 838-4978
Mailing address
PO BOX 331, LIBERTY LAKE, WA 99019-0331
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
MD00043943
WA
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
MED-PHYS-LIC-12142
MT
207RC0000X
Cardiovascular Disease Physician
MD00043943
WA
207RI0011X
Interventional Cardiology Physician
Primary
MD00043943
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279971
L&I AND CRIME VICTIMS FOR PHMG
WA
05
—
1255381109
—
WA
01
—
2547CO
REGNECE BLUE SHIELD
WA
01
—
5793737
AETNA
WA
01
—
82107
L&I AND CRIME VICTIMS FOR SJMC
WA
05
—
8402372
—
WA
01
—
A058
TRI WEST (TRICARE)
WA
05
—
MD6425
—
AK
Enumeration date
05/11/2006
Last updated
08/23/2023
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