Individual
ALFONSO VILLAS MASANGKAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13103 E MANSFIELD AVENUE, SPOKANE VALLEY, WA 99216-1642
(509) 892-2700
(509) 892-2740
Mailing address
PO BOX 3405, SPOKANE, WA 99220-3405
(509) 892-2700
(509) 892-2740
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00045939
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
XXXXXXXX
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013166
—
WA
01
—
MD00045939
MEDICAL LICENSE
WA
Enumeration date
04/13/2006
Last updated
02/17/2023
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