Individual
STACI DUMERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 W 5TH AVE, SUITE 800, SPOKANE, WA 99204-2966
(509) 838-2531
(509) 755-6580
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
(509) 755-6580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60697733
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2015
Last updated
09/22/2016
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