Healthcare Provider Details

I. General information

NPI: 1205984671
Provider Name (Legal Business Name): DAVID B SCHMICK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5105 E 3RD AVE
SPOKANE VALLEY WA
99212-0725
US

IV. Provider business mailing address

5105 E 3RD AVE
SPOKANE VALLEY WA
99212-0725
US

V. Phone/Fax

Practice location:
  • Phone: 509-228-1313
  • Fax: 509-535-4290
Mailing address:
  • Phone: 509-228-1313
  • Fax: 509-535-4290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPL00014325
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: