Individual provider · NPI-1

Ethan M Angell, MD

Family Medicine · Spokane, WA

NPI number1265490247
StatusActive
Last updated in NPPESDec 30, 2015

Details

NPI
1265490247
Entity type
Individual (NPI-1)
Name
Ethan M Angell
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2006
Last updated
Dec 30, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD00043875WAYes

Practice location

3919 N Maple St
Spokane, WA 99205-1349

Phone 509-444-7801 · Fax 509-444-7807

Mailing address

203 N Washington St
Suite 300
Spokane, WA 99201-0233

Phone 509-444-8888 · Fax 509-444-7806

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