Individual
MR. RICKY D. STARIWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
479
AK
363A00000X
Physician Assistant
Primary
PA60276530
WA
363AM0700X
Medical Physician Assistant
479
AK
363AS0400X
Surgical Physician Assistant
479
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD1611
—
AK
Enumeration date
08/05/2006
Last updated
05/07/2012
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