Organization
MICHAEL SIROTT, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SIROTT O.D. (DOCTOR/OWNER)
(509) 868-8604
Entity
Organization
Contact information
Practice address
902 ENGH RD, OMAK, WA 98841-9473
(509) 868-8604
(509) 826-2556
Mailing address
PO BOX 10772, SPOKANE, WA 99209-0772
(509) 868-8604
(509) 826-2556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
152W00000X
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508979493
—
WA
Enumeration date
01/10/2013
Last updated
10/24/2013
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