Individual
TEODULO T VINCE-CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11576
RI
207R00000X
Internal Medicine Physician
Primary
MD60576752
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7057052
—
RI
Enumeration date
06/01/2006
Last updated
08/09/2016
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