Klaus T Gottlieb Md, Pllc | |
12128 N Division St Ste 164 Spokane WA 99218-1905 | |
(509) 455-3453 | |
Not Available |
Full Name | Klaus T Gottlieb Md, Pllc |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 12128 N Division St, Spokane, Washington |
Authorized Official Name and Position | Klaus Gottlieb (DOCTOR) |
Authorized Official Contact | 5094553453 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Klaus T Gottlieb Md, Pllc 122 N Raymond Rd Ste 20 Spokane Valley WA 99206-6832 Ph: (509) 926-1770 | Klaus T Gottlieb Md, Pllc 12128 N Division St Ste 164 Spokane WA 99218-1905 Ph: (509) 455-3453 |
NPI Number | 1053386391 |
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Provider Enumeration Date | 02/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053386391 | NPI | - | NPPES |
146938 | Other | WA | WA LABOR & INDUSTRIES |
7106198 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | MD00036894 (Washington) | Primary |
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