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1154884138
NATHAN WALTER PETAKOFF
SPOKANE, WA
NPI
1154884138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208M00000X Hospitalist
(Licence: WA MD61269644)
Enumeration Date
2019-04-08
Last Update Date
2023-02-17
Business Address
NATHAN WALTER PETAKOFF MD
800 W 5TH AVE
SPOKANE, WA 99204-2803
Phone number: 098-382-5315
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Mailing Address
NATHAN WALTER PETAKOFF MD
PO BOX 5299 MS: 820-5-PCO
TACOMA, WA 98415-0299
Phone number: 253-459-8009
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