Spokane ENT Clinic Mayfair
Spokane ENT Clinic Mayfair is a Non-Pharmacy Dispensing Site in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2006.
- Licensed in
- WA
- In the registry since
- 2006
Practice location Address checks out
5901 N Mayfair StSpokane, WA 99208-5096
Phone: (509) 489-3514
Fax: (509) 483-2546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence MD00019284 (WA) |
|---|
Record details
| NPI number | 1033154273 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Direndia Shackelford — Managed Care Specialist · (800) 654-0889 |
| Other names | Jan S Connelly Md |
| NPI enumerated | June 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5901 N Mayfair St, Spokane, WA 99208-5096 |
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