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Individual

TODD EWERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-2448
Mailing address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 482-2448

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00047007
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8910181
NC
05
N01604
SC
Enumeration date
01/12/2006
Last updated
11/27/2019
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