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NPI Code Detail

MEDICARE: TODD EWERT MD

MEDICARE:   TODD  EWERT  MD
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
1207P00000XEmergency Medicine Physician00047007WA

Other Identifiers

General Provider Information

NPI Number : 1861471385
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD EWERT MD
Provider Business Mailing Address
First Line : 5633 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1224
Country : US
Telephone Number : 509-482-2448
Fax Number :
Provider Business Practice Location Address
First Line : 5633 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1224
Country : US
Telephone Number : 509-482-2448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2006
Last Update Date : 11/27/2019

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Directions to “ TODD EWERT MD” Practice Location

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