Individual
JAMES C WAVRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12 E ROWAN AVE, SUITE 1, SPOKANE, WA 99207-1232
(509) 487-0600
(509) 487-6238
Mailing address
12 E ROWAN AVE, SUITE 1, SPOKANE, WA 99207-1232
(509) 487-0600
(509) 487-6238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0000000949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023612
—
WA
Enumeration date
07/21/2006
Last updated
03/02/2015
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