Healthcare Provider Details

I. General information

NPI: 1720016116
Provider Name (Legal Business Name): TERRENCE D REMPEL MD MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 09/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 E 2ND AVE SUITE 102
SPOKANE WA
99202-1455
US

IV. Provider business mailing address

323 E 2ND AVE STE 102
SPOKANE WA
99202-1455
US

V. Phone/Fax

Practice location:
  • Phone: 509-455-5555
  • Fax: 509-455-4114
Mailing address:
  • Phone: 509-455-5555
  • Fax: 509-455-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD00024366
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: