Individual
DR. JAMES IVAN MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
(509) 826-3633
Mailing address
PO BOX 793, OMAK, WA 98841-0793
(509) 826-7635
(509) 826-7211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60069028
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8542888
—
WA
Enumeration date
05/31/2005
Last updated
11/20/2017
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