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Individual

CODY ROBERT SOLDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
220 E ROWAN AVE STE 300, SPOKANE, WA 99207-1203
(509) 489-3554
(509) 489-3558
Mailing address
220 E ROWAN AVE STE 300, SPOKANE, WA 99207-1203
(509) 489-3554

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60910508
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2113649
WA
Enumeration date
09/02/2017
Last updated
02/22/2019
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