Individual
MR. MICHAEL GLEN MACOMBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHT.
Contact information
Practice address
1811 N MORTON ST, SPOKANE, WA 99207-2586
(509) 270-0957
Mailing address
1811 N MORTON ST, SPOKANE, WA 99207-2586
(509) 270-0957
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10001683
WA
Other
Enumeration date
11/18/2008
Last updated
11/18/2008
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