TYLER ROUBIDOUX

SPOKANE, WA
NPI1609133800
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  A127481)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-04-12
Last Update Date2016-08-08
Business Address
-- TYLER ROUBIDOUX
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 509-474-3020
Mailing Address
-- TYLER ROUBIDOUX
PO BOX 60790
PASADENA, CA 91116-6790
Phone number: 626-204-6747