| NPI | 1780754499 |
|---|---|
| Doing Business As | SPINE TEAM SPOKANE |
| Entity Type | Organization |
| Authorized Contact | T DANIEL DIBBLE President 509-363-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: WA MD00042632) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: ID M-7950) |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WA MD00048246) | |
| 225100000X Physical Therapist (Licence: WA PT60041936) | |
| 363A00000X Physician Assistant (Licence: WA PA10003398) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-07-17 |