Organization
CAROL L HATHAWAY, M.D., P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL L HATHAWAY M.D. (PRESIDENT)
(509) 921-9938
Entity
Organization
Contact information
Practice address
1415 N HOUK RD STE B, SPOKANE VALLEY, WA 99216-1043
(509) 921-9938
Mailing address
1415 N HOUK RD STE B, SPOKANE VALLEY, WA 99216-1043
(509) 921-9938
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00028628
WA
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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