Individual
MEREDITH A HEICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 S MCCLELLAN ST, SUITE 200, SPOKANE, WA 99204-2457
(509) 747-1144
(509) 455-4166
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 944-9644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00019101
WA
207RR0500X
Rheumatology Physician
Primary
MD00019101
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1809300
—
WA
01
—
65138
L & I
WA
Enumeration date
04/21/2006
Last updated
10/28/2014
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