Provider Demographics
NPI:1477826204
Name:SAMARGIS, ANDREW FRANK (DURABLE MEDICAL GOOD)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:FRANK
Last Name:SAMARGIS
Suffix:
Gender:M
Credentials:DURABLE MEDICAL GOOD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7503 E SPRAGUE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99212-2932
Mailing Address - Country:US
Mailing Address - Phone:509-534-2374
Mailing Address - Fax:509-534-2812
Practice Address - Street 1:7503 E SPRAGUE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-2932
Practice Address - Country:US
Practice Address - Phone:509-534-2374
Practice Address - Fax:509-534-2812
Is Sole Proprietor?:No
Enumeration Date:2012-02-09
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603006080171WV0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WV0202XOther Service ProvidersContractorVehicle Modifications