CODY JOSHUA ELLEFSEN

SPOKANE, WA
NPI1578759304
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP00002282)
Enumeration Date2007-09-14
Last Update Date2015-06-24
Business Address
-- CODY JOSHUA ELLEFSEN DO
203 E DALKE AVE STE B
SPOKANE, WA 99208-8112
Phone number: 509-724-0198
Mailing Address
-- CODY JOSHUA ELLEFSEN DO
203 E DALKE AVE STE B
SPOKANE, WA 99208-8112
Phone number: 509-724-0198