Individual
MARK ROUBIDOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1221 HIGHLAND AVE, CLARKSTON, WA 99403-2829
(509) 758-5511
Mailing address
3327 W INDIAN TRAIL RD, #137, SPOKANE, WA 99208-4762
(509) 464-1175
(509) 210-1054
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30000765
WA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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