OrganizationActive
24 on Physicians, PC
NPI 1548219215 · Internal Medicine Physician · Spokane, WA
Provider details
- NPI number
- 1548219215
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Fuller, Secretary(770) 740-0895
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
800 West 5th Ave
Spokane, WA 99204
Phone: (509) 473-3633
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 403631
Atlanta, GA 30384-3631
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.