Individual
JOSHUA RAYMOND KISTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5921 N MARKET ST, SPOKANE, WA 99208
(094) 444-8200
(509) 482-6286
Mailing address
611 N IRON BRIDGE WAY, SPOKANE, WA 99202-4932
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
O-1287
ID
207Q00000X
Family Medicine Physician
Primary
OP60768569
WA
Other
Enumeration date
04/23/2014
Last updated
02/04/2021
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