Individual
PAULA A DYGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 N LIDGERWOOD ST STE 126, SPOKANE, WA 99208
(509) 434-1990
(509) 340-8986
Mailing address
3435 S LONDON CT, SPOKANE, WA 99203-1655
(607) 343-4675
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60664470
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02571864
—
NY
Enumeration date
12/28/2005
Last updated
11/28/2020
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