Individual
MR. MONTSHO PILI CORPPETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
421 S DIVISION ST, SUITE 2, SPOKANE, WA 99202-1331
(509) 474-5858
(509) 474-5859
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60607471
WA
Other
Enumeration date
05/31/2007
Last updated
08/22/2016
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