Individual
DERRICK RAY HAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W 8TH AVE STE 1300, SPOKANE, WA 99204-2307
(509) 474-7370
(509) 474-7372
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD0046334
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8457327
—
WA
Enumeration date
08/31/2006
Last updated
07/21/2022
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