Organization
ROBERT I HUSTRULID MD PLLC
Active
Organization
ROBERT I HUSTRULID MD PLLC
Active
Other names
Country Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT IVER HUSTRULID MD (OWNER)
(509) 951-3979
Entity
Organization
Contact information
Practice address
1201 N EVERGREEN RD, SPOKANE VALLEY, WA 99216-5094
(509) 951-3979
(509) 495-1244
Mailing address
3807 S SOMMER RD, VERADALE, WA 99037-9136
(509) 951-3979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
12/21/2020
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