Individual
TY J. WINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
Mailing address
601 W 5TH AVE STE 400, SPOKANE, WA 99204-2715
(509) 344-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60408135
WA
363AM0700X
Medical Physician Assistant
PA60408135
WA
Other
Enumeration date
08/28/2013
Last updated
12/12/2024
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