Provider Demographics
NPI:1275513889
Name:FINCHER, ROGER D (MD)
Entity Type:Individual
Prefix:
First Name:ROGER
Middle Name:D
Last Name:FINCHER
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 1:801 W 5TH AVE
Mailing Address - Street 2:SUITE 525
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2842
Mailing Address - Country:US
Mailing Address - Phone:509-747-7900
Mailing Address - Fax:509-624-3666
Practice Address - Street 1:801 W 5TH AVE
Practice Address - Street 2:SUITE 525
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2842
Practice Address - Country:US
Practice Address - Phone:509-747-7900
Practice Address - Fax:509-624-3666
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00019098208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1789304Medicaid
WAAB27295Medicare PIN
WA1789304Medicaid