Individual
RACHAEL A WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2020 E 29TH AVE, SPOKANE, WA 99203-3917
(509) 626-9400
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 624-2313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60407198
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2012
Last updated
06/29/2016
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