Individual
CAROL L HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FACS, P.S.
Contact information
Practice address
1415 N HOUK RD, STE B, SPOKANE VALLEY, WA 99216-1043
(509) 921-9938
(509) 921-5877
Mailing address
1415 N HOUK RD, STE B, SPOKANE VALLEY, WA 99216-1043
(509) 921-9938
(509) 921-5877
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00028628
WA
Other
Enumeration date
08/30/2006
Last updated
01/18/2011
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