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General NPI Number Information
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NPI Number | 1083665145
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Entity Type | Individual
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Provider Name | MICHAEL JOSEPH CRUZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/13/2006
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 217 W CATALDO AVE FL 2
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City | SPOKANE
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State | WA
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Zip | 99201-2217
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Country | US
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Telephone | 509-624-2326
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Fax | 509-744-3040
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Provider Business Mailing Address
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Address Line | PO BOX 421
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-0421
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Country | US
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Telephone | 866-747-2455
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Fax | 509-227-7070
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD00038278
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | MD00038278
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | MD00038278
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License Number State | WA
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