Organization
T DANIEL DIBBLE MD PC
Active
Other names
SPINE TEAM SPOKANE
Organization subpart
No
Provider details
NPI number
Authorized official
T DANIEL DIBBLE MD (PRESIDENT)
(509) 363-3100
Entity
Organization
Contact information
Practice address
1123 N EVERGREEN RD, SPOKANE VALLEY, WA 99216-1138
(509) 363-3100
(509) 363-0300
Mailing address
PO BOX 808, VERADALE, WA 99037-0808
(509) 363-3100
(509) 363-0300
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
M-7950
ID
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD00048246
WA
208VP0014X
Interventional Pain Medicine Physician
Primary
MD00042632
WA
225100000X
Physical Therapist
PT60041936
WA
363A00000X
Physician Assistant
PA10003398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217798
LABOR AND INDUSTRIES
WA
05
—
805808900
—
ID
Enumeration date
11/09/2006
Last updated
07/17/2023
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