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Individual

DR. SHEA E MCMANUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3260
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3260
(509) 227-7070

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD60189235
WA
207R00000X
Internal Medicine Physician
9701056
NC
207R00000X
Internal Medicine Physician
MD60189235
WA
208M00000X
Hospitalist Physician
Primary
MD60189235
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0286668
LIWA
WA
05
2014786
WA
05
8910273
NC
Enumeration date
05/25/2006
Last updated
10/01/2018
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