Individual
DAVID S KORDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12209 E MISSION AVE STE 9, SPOKANE VALLEY, WA 99206-4824
(509) 443-3145
(509) 443-3968
Mailing address
12209 E MISSION AVE STE 9, SPOKANE VALLEY, WA 99206-4824
(509) 443-3145
(509) 443-3968
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1375OD
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012896
—
WA
01
—
48854
L & I
WA
Enumeration date
12/23/2005
Last updated
01/22/2019
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