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Organization

COLUMBIA NEUROSURGERY & SPINE PLLC

Active
Other names
Matthew Fewel, MD PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TARA L GARRETT REED MS, MBA (PRACTICE ADMINISTRATOR)
(509) 942-3080
Entity
Organization

Contact information

Practice address
833 SWIFT BLVD, RICHLAND, WA 99352-3513
(509) 942-3080
(509) 942-3085
Mailing address
833 SWIFT BLVD, RICHLAND, WA 99352-3513
(509) 942-3080
(509) 942-3085

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00044896
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0199144
LABOR AND INDUSTRY
WA
05
1122167
WA
01
212550
LABOR AND INDUSTRY
WA
01
4330FE
ASURIS
WA
05
8461592
WA
Enumeration date
12/05/2006
Last updated
08/22/2020
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