Healthcare Provider Details

I. General information

NPI: 1093135188
Provider Name (Legal Business Name): DAVID P MCGARRY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2014
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12615 E MISSION AVE STE 200
SPOKANE VALLEY WA
99216-1047
US

IV. Provider business mailing address

12615 E MISSION AVE STE 200
SPOKANE VALLEY WA
99216-1047
US

V. Phone/Fax

Practice location:
  • Phone: 509-960-5520
  • Fax:
Mailing address:
  • Phone: 509-960-5520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberOP60924050
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: