Individual
CARSON DAVID PETRIE STOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1000 N ARGONNE RD, SPOKANE VALLEY, WA 99212-2600
(509) 534-4300
Mailing address
3936 E 17TH AVE, SPOKANE, WA 99223-5221
(731) 819-8830
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
96572
TN
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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