Organization
DOUGLAS G DEMMERT CRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS G DEMMERT CRNA (OWNER)
(509) 332-4051
Entity
Organization
Contact information
Practice address
842 S COWLEY ST, SPOKANE, WA 99202-1234
(509) 755-0927
Mailing address
PO BOX 487, PULLMAN, WA 99163-0487
(509) 332-4051
(509) 332-4051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30002486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9625567
—
WA
Enumeration date
07/06/2010
Last updated
02/08/2011
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