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Individual

JOHN STEPHEN NALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9222 N NEWPORT HWY, SUITE 1, SPOKANE, WA 99218
(509) 467-4545
(509) 467-2304
Mailing address
908 E BURK RD, COLBERT, WA 99005
(509) 468-8507

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00034910
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0133260
L&I
WA
05
8252975
WA
Enumeration date
08/29/2006
Last updated
07/08/2007
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