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Individual

MARYAM PARVIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
601 S SHERMAN ST, SPOKANE, WA 99202-1311
(509) 228-1000
(509) 252-9300
Mailing address
PO BOX 3868, SPOKANE, WA 99220-3868
(509) 228-1000
(509) 252-9300

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD00042177
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010143500
BLUE SHIELD OF IDAHO
01
0171333
LABOR & INDUSTRIES
WA
01
7113181
AETNA
05
80657900
ID
05
8332041
WA
01
9607PA
ASURIS NW HEALTH
01
KU646
BLUE CROSS OF IDAHO
01
P00023391
RAILROAD MEDICARE
Enumeration date
10/21/2005
Last updated
03/24/2017
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