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Individual

DR. CLINTON S POPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12401 E SINTO AVE, SPOKANE VALLEY, WA 99216-1081
(509) 922-2055
(509) 922-2307
Mailing address
3333 W HORIZON AVE, SPOKANE, WA 99208-8812
(509) 448-7771

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00037066
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7099575
WA
05
7104243
WA
Enumeration date
12/12/2005
Last updated
07/29/2010
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