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NPI Code Detail

MEDICARE: DR. PATRICK Z PEARCE M.D.

MEDICARE: DR. PATRICK Z PEARCE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS0010XSports Medicine (Family Medicine) Physician00019290WA
2207QS0010XSports Medicine (Family Medicine) PhysicianM-9354ID

General Provider Information

NPI Number : 1598874430
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK Z PEARCE M.D.
Provider Business Mailing Address
First Line : 730 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99202-2045
Country : US
Telephone Number : 509-487-4467
Fax Number : 509-487-4503
Provider Business Practice Location Address
First Line : 730 N HAMILTON ST
Second Line :
City : SPOKANE
State : WA
Zip : 99202-2045
Country : US
Telephone Number : 509-487-4467
Fax Number : 509-487-4503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 08/19/2009

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