Provider Demographics
NPI:1841407244
Name:COERVER, DONALD AUGUST (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:AUGUST
Last Name:COERVER
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:1904 W TONI RAE DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2460
Mailing Address - Country:US
Mailing Address - Phone:509-468-0893
Mailing Address - Fax:509-835-4019
Practice Address - Street 1:920 W RIVERSIDE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-1010
Practice Address - Country:US
Practice Address - Phone:509-353-3105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAPA10002653363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant