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Individual

MR. RALAND A. JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP, LPO

Contact information

Practice address
212 CENTRAL AVE SUITE 215, HANGER CLINIC, SPOKANE, WA 99208
(509) 326-6401
(509) 325-5986
Mailing address
212 CENTRAL AVE SUITE 215, HANGER CLINIC, SPOKANE, WA 99208
(509) 326-6401
(509) 325-5986

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
0100000073
WA
224P00000X
Prosthetist
Primary
PS00000074
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8418691
PIN NUMBER MEDICAID
WA
05
9011495
WA
01
CP001296
ABC NBR 033831
Enumeration date
06/07/2006
Last updated
05/13/2016
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