Individual
JAMIE L KOOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2214 E 29TH AVE, SPOKANE, WA 99203-3939
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00037748
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8263147
—
WA
Enumeration date
08/19/2005
Last updated
12/12/2008
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