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Individual

DANIEL O. MYHRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000041
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8384018
WA
Enumeration date
12/28/2006
Last updated
05/13/2008
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