Individual
DYLAN MOGK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61258906
WA
207R00000X
Internal Medicine Physician
MRM1804
ID
Other
Enumeration date
04/01/2019
Last updated
05/03/2023
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