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Individual

IRVIN G ENGEN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
5901 N MAYFAIR ST, SUITE 202, SPOKANE, WA 99208-1121
(509) 482-0848
(509) 482-0760
Mailing address
5901 N MAYFAIR ST, SUITE 202, SPOKANE, WA 99208-1121
(509) 482-0848
(509) 482-0760

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
202
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1021906
WA
Enumeration date
10/14/2005
Last updated
07/08/2007
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