Individual
MICHAEL J FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
122 W 7TH AVE, 420, SPOKANE, WA 99204-2349
(509) 626-9440
(509) 626-9475
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10001833
WA
363AS0400X
Surgical Physician Assistant
Primary
PA10001833
WA
Other
Enumeration date
04/10/2006
Last updated
05/18/2021
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