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NPI Code Detail

MEDICARE: MARY SCHAEFER BADGER DO

MEDICARE: MARY SCHAEFER BADGER DO
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
1207R00000XInternal Medicine PhysicianOP00001225WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922097799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SCHAEFER BADGER DO
Provider Business Mailing Address
First Line : 6002 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1124
Country : US
Telephone Number : 509-482-4402
Fax Number :
Provider Business Practice Location Address
First Line : 6002 N LIDGERWOOD ST
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1124
Country : US
Telephone Number : 509-482-4402
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 04/01/2021

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Directions to “ MARY SCHAEFER BADGER DO” Practice Location

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