STEPHENIE MATOSICH

SPOKANE, WA
NPI1548502586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  TO60905528)
Additional Taxonomies207Q00000X Family Medicine
(Licence: SC  39229)
207Q00000X Family Medicine
(Licence: MS  25337)
207VX0000X Obstetrics & Gynecology, Obstetrics
(Licence: MS  25337)
Enumeration Date2013-03-16
Last Update Date2021-06-17
Business Address
STEPHENIE MATOSICH D.O.
624 E FRONT AVE
SPOKANE, WA 99202-2139
Phone number: 509-626-9900
Mailing Address
STEPHENIE MATOSICH D.O.
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455