Individual
MR. JOSEPH MICHAEL GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC, CSCS
Contact information
Practice address
711 S COWLEY ST, SPOKANE, WA 99202-1330
(509) 473-6706
(509) 473-6704
Mailing address
612 E 42ND AVE, SPOKANE, WA 99203-6265
(509) 475-5589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
060402482
WA
363AM0700X
Medical Physician Assistant
Primary
PA 60416598
WA
Other
Enumeration date
03/15/2007
Last updated
11/05/2013
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