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Individual

JOHN K SHUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179
Mailing address
601 W 5TH AVE, SUITE 400, SPOKANE, WA 99204-2715
(509) 344-2663
(509) 624-9179

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00036590
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00036590
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010004892
REGENCE BLUE SHIELD OF ID
ID
01
000010004895
BLUE SHIELD OF IDAHO
ID
05
0034606
MT
01
123388
DEPT OF LABOR & INDUSTRIE
WA
01
14477
GROUP HEALTH NW
WA
01
200031946
RR MEDICARE
WA
01
379109600
OWCP
WA
05
805241500
ID
05
8229817
WA
01
89220026
CRIME VICTIMS
WA
01
KB780
BLUE CROSS OF ID
ID
01
SH7670
ASURIS NW HEALTH
WA
Enumeration date
03/09/2006
Last updated
01/11/2010
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