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NPI Code Detail

MEDICARE: PHILLIP MICHAEL HALABUK

MEDICARE: PHILLIP MICHAEL HALABUK
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
1225100000XPhysical Therapist60764003WA

General Provider Information

NPI Number : 1598287443
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP MICHAEL HALABUK
Provider Business Mailing Address
First Line : 3916 N ARGONNE RD UNIT B103
Second Line :
City : SPOKANE
State : WA
Zip : 99212-1844
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7411 N NEVADA ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-5518
Country : US
Telephone Number : 509-489-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 07/12/2017

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Directions to “ PHILLIP MICHAEL HALABUK ” Practice Location

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