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Individual

MR. MARK J ERWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
5633 N LIDGERWOOD ST, SPOKANE, WA 99208-1224
(509) 252-6336
(509) 252-6337
Mailing address
9631 N NEVADA ST, STE 210, SPOKANE, WA 99218-1197
(509) 319-2431
(877) 568-2402

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004364
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8331779
WA
Enumeration date
07/20/2005
Last updated
03/30/2016
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