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Individual

DR. RICHARD HOTCHKISS BALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
404 W 15TH AVE, SPOKANE, WA 99203-2110
(509) 838-8538
(509) 455-8761
Mailing address
404 W 15TH AVE, SPOKANE, WA 99203-2110
(509) 838-8538
(509) 455-8761

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00011402
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080165874
PALMETTO RR MEDICARE
05
1111665
WA
01
13547
LABOR & INDUSTRIES
Enumeration date
08/31/2006
Last updated
12/01/2009
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