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Individual

JEDIDIAH SCHLUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
INTEGRA IMAGING PS, 801 S STEVENS STREET, SPOKANE, WA 99204
(509) 747-4455
(509) 363-7064
Mailing address
INTEGRA IMAGING PS, 801 S STEVENS STREET, SPOKANE, WA 99204
(509) 747-4455
(509) 363-7064

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
74722-20
WI
2085R0202X
Diagnostic Radiology Physician
Primary
MD61242081
WA
2085R0202X
Diagnostic Radiology Physician
MED-PHYS-LIC-104066
MT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/13/2016
Last updated
07/21/2022
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