Organization
ROBERT MAHER MD ROBERT DAVIS MD ET AL
Active
Other names
Spokane Optical Company LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL K JACOBSON MD (PHYSICIAN)
(509) 456-0107
Entity
Organization
Contact information
Practice address
12525 E MISSION AVE, SPOKANE VALLEY, WA 99216-1063
(509) 924-7271
(509) 928-7802
Mailing address
12525 E MISSION AVE, SPOKANE VALLEY, WA 99216-1063
(509) 924-7271
(509) 928-7802
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
602617024
WA
Other
Enumeration date
08/22/2012
Last updated
08/22/2012
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