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Organization

DRS. GOLDMAN & SUMMERS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TERESA B CHIESA (OFFICE MANAGER)
(509) 467-8355
Entity
Organization

Contact information

Practice address
9631 N NEVADA ST STE 210, SPOKANE, WA 99218-1197
(509) 467-8355
(509) 467-7151
Mailing address
9631 N NEVADA ST STE 210, SPOKANE, WA 99218-1197
(509) 467-8355
(509) 467-7151

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00020871
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010147265
REGENCE BLUESHIELD OF IDA
WA
01
000010147266
REGENCE BLUESHIELD OF IDA
WA
01
163050
LABOR & INDUSTRIES
WA
05
7123839
WA
01
KW773
BLUE CROSS OF IDAHO
WA
01
P00124645
RAILROAD MEDICARE
WA
01
P00165602
RAILROAD MEDICARE
WA
01
P00240230
RAILROAD MEDICARE
WA
01
POO124661
RAILROAD MEDICARE
WA
Enumeration date
08/04/2006
Last updated
09/25/2007
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