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Individual

DANIEL R RHOADS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
104 W 5TH AVE, SUITE 330W, SPOKANE, WA 99204-4880
(509) 624-1184
(509) 625-1449
Mailing address
104 W 5TH AVE, SUITE 330W, SPOKANE, WA 99204-4880
(509) 624-1184
(509) 625-1449

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004210
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070010731
RAILROAD MEDICARE
WA
Enumeration date
09/21/2006
Last updated
04/18/2012
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