Individual
GAYE E BLOXOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
910 W 5TH AVE, SUITE 102, SPOKANE, WA 99204-2966
(509) 228-1635
(509) 252-9300
Mailing address
PO BOX 3868, SPOKANE, WA 99220-3868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10002517
WA
Other
Enumeration date
02/06/2008
Last updated
06/07/2010
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