Individual
BOGDAN CHABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
505 E STONEWALL AVE, SPOKANE, WA 99208-5747
(509) 444-8200
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61098654
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA61098654
—
WA
Enumeration date
09/11/2019
Last updated
02/27/2023
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