Provider Demographics
NPI:1235123753
Name:DEMARS, PATRICK D (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:D
Last Name:DEMARS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 S MANITO PL
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-2364
Mailing Address - Country:US
Mailing Address - Phone:509-413-2117
Mailing Address - Fax:
Practice Address - Street 1:2008 S MANITO PL
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-2364
Practice Address - Country:US
Practice Address - Phone:509-413-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60198039207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD5701120Medicaid
E07499Medicare UPIN
SD5701120Medicaid