Healthcare Provider Details

I. General information

NPI: 1104815935
Provider Name (Legal Business Name): HAROLD K CATHCART JR. DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W 8TH AVE STE 7010
SPOKANE WA
99204-2312
US

IV. Provider business mailing address

PO BOX 421
LIBERTY LAKE WA
99019-0421
US

V. Phone/Fax

Practice location:
  • Phone: 509-353-3901
  • Fax: 509-227-7070
Mailing address:
  • Phone: 509-474-3568
  • Fax: 509-227-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberOP00001268
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: