Individual
JEFFREY MICHAEL WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 S UNIVERSITY RD, SUITE 202, SPOKANE VALLEY, WA 99206-6164
(509) 434-9128
Mailing address
325 S UNIVERSITY RD, SUITE 202, SPOKANE VALLEY, WA 99206-6164
(509) 434-9128
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
04/12/2017
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