Organization
MEDICAL ONCOLOGY ASSOCIATES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A DURKIN (CREDENTIALING MANAGER)
(208) 664-4026
Entity
Organization
Contact information
Practice address
6001 N MAYFAIR ST, SPOKANE, WA 99208-1129
(509) 462-2273
(509) 462-2275
Mailing address
PO BOX 996, HAYDEN, ID 83835-0996
(208) 664-4026
(208) 664-4840
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD00044796
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD000458184
WA
2085R0202X
Diagnostic Radiology Physician
MD00046189
WA
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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