| |
400 Burdin Blvd, Grand Coulee, WA 99133 | |
(509) 633-0861 | |
(509) 633-0865 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 400 Burdin Blvd, Grand Coulee, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295909448 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH 00034872 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
400 Burdin Blvd, Grand Coulee, WA 99133 Ph: (509) 633-0861 | 400 Burdin Blvd, Grand Coulee, WA 99133 Ph: (509) 633-0861 |
Dr. Jason Pepperd, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 122 Midway Ave, Grand Coulee, WA 99133 Phone: 509-633-0861 Fax: 509-633-0865 |