Individual
CHA VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 W NORTH RIVER DRIVE, SPOKANE, WA 99201
(509) 324-6464
(509) 241-2056
Mailing address
322 W NORTH RIVER DRIVE, SPOKANE, WA 99201
(509) 324-6464
(509) 241-2056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A106064
CA
207R00000X
Internal Medicine Physician
Primary
MD00047032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8487357
—
WA
01
—
P00418900
RR MCARE
WA
Enumeration date
03/23/2007
Last updated
03/20/2024
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