Individual
BRUCE C ANDREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
535 S PINE ST, SPOKANE, WA 99202-1347
(509) 623-2160
Mailing address
PO BOX 8485, SPOKANE, WA 99203-0485
(509) 991-6992
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30001974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
911697924
TAX ID
WA
05
—
9615964
—
WA
Enumeration date
09/12/2006
Last updated
11/09/2016
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