Provider Demographics
NPI:1790181493
Name:ANDERSON, DAVID E (PA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:ANDERSON
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Gender:M
Credentials:PA
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Mailing Address - Street 1:220 E ROWAN AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1202
Mailing Address - Country:US
Mailing Address - Phone:509-489-3554
Mailing Address - Fax:509-232-4387
Practice Address - Street 1:220 E ROWAN AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1202
Practice Address - Country:US
Practice Address - Phone:509-489-3554
Practice Address - Fax:509-232-4387
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-07
Last Update Date:2014-11-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical