Healthcare Provider Details
I. General information
NPI: 1316007966
Provider Name (Legal Business Name): DARROL K HVAL D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
551 E HAWTHORNE RD
SPOKANE WA
99218-1417
US
IV. Provider business mailing address
PO BOX 421
LIBERTY LAKE WA
99019-0421
US
V. Phone/Fax
- Phone: 509-489-2369
- Fax: 509-227-7070
- Phone: 866-474-2455
- Fax: 509-227-7070
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | OP00001499 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | OP00001499 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: