Individual
DR. MATTHEW JON VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2214 E 29TH AVE, SPOKANE, WA 99203-3939
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35084662
OH
207Q00000X
Family Medicine Physician
Primary
MD60707386
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2501733
—
OH
Enumeration date
10/11/2006
Last updated
01/10/2017
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