Organization
MEDICAL ONCOLOGY ASSOCIATES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A DURKIN (CREDENTIALING MANAGER)
(208) 664-4026
Entity
Organization
Contact information
Practice address
6001 N MAYFAIR ST, SPOKANE, WA 99208-1129
(509) 462-2273
(509) 462-2275
Mailing address
PO BOX 996, HAYDEN, ID 83835-0996
(208) 664-4026
(208) 664-4840
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00037930
WA
207RH0003X
Hematology & Oncology Physician
MD00046241
WA
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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