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Individual

TORREY A. VAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
122 W 7TH AVE, STE 110, SPOKANE, WA 99204-2349
(509) 456-0262
(509) 462-5059
Mailing address
122 W 7TH AVE, STE 110, SPOKANE, WA 99204-2349
(509) 456-0262
(509) 462-5059

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA-457
ID
363AS0400X
Surgical Physician Assistant
Primary
PA10003341
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1665079
MEDICARE PTAN
ID
05
804123100
ID
05
8374779
WA
01
G8871065
MEDICARE PTAN
WA
01
G8878132
MEDICARE PTAN
WA
Enumeration date
07/19/2005
Last updated
12/19/2011
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