Individual
ROYCE F VAN GERPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
323 E SECOND AVE, SUITE 102, SPOKANE, WA 99202
(509) 455-5555
(509) 455-4114
Mailing address
323 E 2ND AVE, SUITE 102, SPOKANE, WA 99202-1455
(509) 455-5555
(509) 455-4114
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
M6920
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1319706
—
WA
01
—
13782
STATE OF WA
WA
01
—
45259
STATE LABOR & INDUSTRIES
WA
Enumeration date
06/28/2006
Last updated
09/09/2010
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