Individual
STACY J JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
16528 E DESMET CT STE A2200, SPOKANE VALLEY, WA 99216-3522
(509) 489-6995
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60188346
WA
Other
Enumeration date
11/18/2010
Last updated
12/05/2021
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