| Daniel L Husky, Md, Ps | |
|
104 W 5th Ave Ste 390e Spokane WA 99204-4817 | |
| (509) 777-8778 | |
| (509) 777-8790 |
| Full Name | Daniel L Husky, Md, Ps |
|---|---|
| Speciality | Family Medicine |
| Location | 104 W 5th Ave Ste 390e, Spokane, Washington |
| Authorized Official Name and Position | Daniel L Husky (OWNER) |
| Authorized Official Contact | 5097778778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L Husky, Md, Ps 104 W 5th Ave Ste 390e Spokane WA 99204-4817 Ph: (509) 777-8778 | Daniel L Husky, Md, Ps 104 W 5th Ave Ste 390e Spokane WA 99204-4817 Ph: (509) 777-8778 |
| NPI Number | 1154532406 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154532406 | NPI | - | NPPES |
| 114792 | Medicaid | WA | |
| 0156551 | Other | WA | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00017002 (Washington) | Primary |
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