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Individual

DR. IRBY V COSSETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 473-7393
(509) 473-7016
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
00014699
WA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
00014699
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003649400
WA
01
1366481145
NPI NUMBER
WA
05
210791
OR
Enumeration date
06/06/2006
Last updated
10/27/2009
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