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NPI Code Detail

MEDICARE: DEBBI SPITLER P.A.

MEDICARE:   DEBBI  SPITLER  P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA10004737WA

General Provider Information

NPI Number : 1407855455
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBBI SPITLER P.A.
Provider Business Mailing Address
First Line : 921 14TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2316
Country : US
Telephone Number : 360-423-0203
Fax Number : 360-423-2311
Provider Business Practice Location Address
First Line : 921 14TH AVE
Second Line :
City : LONGVIEW
State : WA
Zip : 98632-2316
Country : US
Telephone Number : 360-423-0203
Fax Number : 360-423-2311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 04/30/2015

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Directions to “ DEBBI SPITLER P.A.” Practice Location

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