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Individual

ETHAN M ANGELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3919 N MAPLE ST, SPOKANE, WA 99205-1349
(509) 444-7801
(509) 444-7807
Mailing address
203 N WASHINGTON ST, SUITE 300, SPOKANE, WA 99201-0233
(509) 444-8888
(509) 444-7806

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043875
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8400285
WA
Enumeration date
05/01/2006
Last updated
12/30/2015
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