SHANE B CARSON

SPOKANE, WA
NPI1710917299
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: WA  OP00002101)
Enumeration Date2006-07-03
Last Update Date2021-05-03
Business Address
SHANE B CARSON D.O.
1919 S GRAND BLVD
SPOKANE, WA 99203-2347
Phone number: 509-747-3081
Mailing Address
SHANE B CARSON D.O.
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 509-747-3081
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