| Dgb Pllc | |
|
2207 N Molter Rd Ste 203 Liberty Lake WA 99019-7571 | |
| (509) 565-8803 | |
| (509) 842-3057 |
| Full Name | Dgb Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2207 N Molter Rd Ste 203, Liberty Lake, Washington |
| Authorized Official Name and Position | Drostan Gregg Baker (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5095658803 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dgb Pllc 23208 E Colony Ct Liberty Lake WA 99019-8525 Ph: (208) 757-1618 | Dgb Pllc 2207 N Molter Rd Ste 203 Liberty Lake WA 99019-7571 Ph: (509) 565-8803 |
| NPI Number | 1669140836 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/02/2021 |
| Medicare PECOS PAC ID | 7416353172 |
|---|---|
| Medicare Enrollment ID | O20210902003336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669140836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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