Individual
DR. MICHAEL JUSTIN SIROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
902 ENGH RD, OMAK, WA 98841-9473
(509) 846-3930
(509) 288-4269
Mailing address
PO BOX 10772, SPOKANE, WA 99209-0772
(509) 846-3930
(509) 288-4269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
103000
ID
152W00000X
Optometrist
Primary
WA 3806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508979493
—
WA
Enumeration date
08/16/2006
Last updated
02/02/2016
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