Provider Demographics
NPI:1336419795
Name:IANNUZZI, DEBRA M (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:M
Last Name:IANNUZZI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:104 W 5TH AVE
Mailing Address - Street 2:SUITE 330W
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-4880
Mailing Address - Country:US
Mailing Address - Phone:509-624-1184
Mailing Address - Fax:509-625-1449
Practice Address - Street 1:104 W 5TH AVE
Practice Address - Street 2:SUITE 330W
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-4880
Practice Address - Country:US
Practice Address - Phone:509-624-1184
Practice Address - Fax:509-625-1449
Is Sole Proprietor?:No
Enumeration Date:2012-01-03
Last Update Date:2013-12-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD 000422532080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology