Organization
SPINAL DIAGNOSTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEA DEHN (OFFICE MANAGER)
(509) 455-6736
Entity
Organization
Contact information
Practice address
528 E SPOKANE FALLS BLVD, #14, SPOKANE, WA 99202-1638
(509) 455-6736
(509) 455-6737
Mailing address
528 E SPOKANE FALLS BLVD, #14, SPOKANE, WA 99202-1638
(509) 455-6736
(509) 455-6737
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200140
—
WA
Enumeration date
06/08/2007
Last updated
02/12/2008
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