Organization
WANDERMERE OCCUPATIONAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J DEPNER PA-C (CLINIC DIRECTOR)
(509) 879-0039
Entity
Organization
Contact information
Practice address
309 E FARWELL RD, SUITE204, SPOKANE, WA 99218-8210
(509) 720-7452
(509) 466-4798
Mailing address
5011 W ALCOTT CT, SPOKANE, WA 99208-9141
(509) 879-0039
(509) 466-4798
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
PA10001774
WA
Other
Enumeration date
05/22/2015
Last updated
10/26/2015
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