MEDICARE: DAVID JOHN JOOSTEN M.D.

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
1	208000000X	Pediatrics Physician	MD00040490	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8287823	OTHER	WA	DSHS NUMBER

General Provider Information

NPI Number	:	1902884869
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID JOHN JOOSTEN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 421
Second Line	:
City	:	LIBERTY LAKE
State	:	WA
Zip	:	99019-0421
Country	:	US
Telephone Number	:	509-474-3568
Fax Number	:	509-227-7070

Provider Business Practice Location Address
First Line	:	5011 W LOWELL AVE STE 100
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99208-8587
Country	:	US
Telephone Number	:	509-385-0610
Fax Number	:	509-227-7070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	11/08/2021

Similar Medicare Providers

1720462666 — DR. JACLYN M ELIASSEN DDS
Practice Location Address:

5011 W LOWELL AVE , SUITE 130
SPOKANE, WA
99208-8587

Practice Phone: 509-464-3100
Practice Fax:

1922066257 — ALAN DALE PURDY M.D.
Practice Location Address:

5011 W LOWELL AVE , SUITE 100
SPOKANE, WA
99208-8587

Practice Phone: 509-385-0610
Practice Fax: 509-227-7070

1386602951 — TAMMY JANE MALONEY PTA
Practice Location Address:

5011 W LOWELL AVE , STE 120
SPOKANE, WA
99208-8587

Practice Phone: 509-777-0610
Practice Fax:

1831296177 — DR. DEBORAH ANN ICENOGLE MD
Practice Location Address:

5011 W LOWELL AVE STE 100
SPOKANE, WA
99208-8587

Practice Phone: 509-299-1958
Practice Fax: 509-299-1070

1255402715 — DR. THOMAS ARTHUR MYERS O.D.
Practice Location Address:

5011 W LOWELL AVE , SUITE 120
SPOKANE, WA
99208-8587

Practice Phone: 509-868-0215
Practice Fax: 509-868-0245

1205168184 — PACIFIC EYECARE & OPTICAL, PLLC
Practice Location Address:

5011 W LOWELL AVE , SUITE 120
SPOKANE, WA
99208-8587

Practice Phone: 509-868-0215
Practice Fax:

Directions to “ DAVID JOHN JOOSTEN M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.