Individual
COLIN BEACOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
910 W 5TH AVE STE 800, SPOKANE, WA 99204-2912
(509) 755-5120
Mailing address
910 W 5TH AVE STE 800, SPOKANE, WA 99204-2912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61136614
WA
Other
Enumeration date
10/01/2019
Last updated
02/21/2023
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