Individual
AARON M DEMEYERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1623 5TH ST, SUITE A, CLARKSTON, WA 99403
(509) 758-1102
(509) 758-1361
Mailing address
1623 5TH ST, SUITE A, CLARKSTON, WA 99403
(509) 758-1102
(509) 758-1361
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
M4776
ID
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00033091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010005706
REGENCE BLUE SHIELD OF ID
ID
05
—
000254500
—
ID
05
—
1000298
—
WA
01
—
47761
BLUE CROSS OF IDAHO
ID
01
—
994030000
TRICARE
—
01
—
P00078763
RAILROAD MEDICARE
—
Enumeration date
09/07/2005
Last updated
07/08/2007
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