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Individual

DR. ANGELICA MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
212 E CENTRAL AVE STE 440, SPOKANE, WA 99208-6290
(509) 252-9602
(509) 227-7070
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-4114
(866) 747-2455
(509) 944-9644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43565
AZ
207Q00000X
Family Medicine Physician
Primary
MD60084571
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
43565
MEDICAL LICENSE
AZ
01
ML20008595
MEDICAL LICENSE
WA
Enumeration date
04/30/2008
Last updated
06/16/2025
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