Individual
AMROU M ALI IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3260
(509) 474-3245
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-3260
(509) 474-3245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60763663
WA
208M00000X
Hospitalist Physician
Primary
MD60763663
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
04/05/2021
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