Healthcare Provider Details

I. General information

NPI: 1386758712
Provider Name (Legal Business Name): DAVID R GREELEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W 3RD AVE STE 101
SPOKANE WA
99201-7040
US

IV. Provider business mailing address

1520 W 3RD AVE STE 101
SPOKANE WA
99201-7040
US

V. Phone/Fax

Practice location:
  • Phone: 509-747-5165
  • Fax: 509-747-5133
Mailing address:
  • Phone: 509-747-5165
  • Fax: 509-747-5133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD00030536
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: