Individual
CODY JOSHUA ELLEFSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
203 E DALKE AVE STE B, SPOKANE, WA 99208-8112
(509) 724-0198
(509) 724-0198
Mailing address
203 E DALKE AVE STE B, SPOKANE, WA 99208-8112
(509) 724-0198
(509) 724-0198
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002282
WA
Other
Enumeration date
09/14/2007
Last updated
06/24/2015
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