Dermatology Clinic Of Spokane, P.C
Dermatology in Spokane, WA. Organization (NPI-2).
NPI number1992348619
StatusActive
Last updated in NPPESFeb 11, 2020
Details
- NPI
- 1992348619
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Clinic Of Spokane, P.C
- Organization subpart
- No
- Enumeration date
- Oct 25, 2019
- Certification date
- Feb 11, 2020
- Last updated
- Feb 11, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- William A. Wray. MD. PLLC (Former Legal Business Name)
Practice location
309 E Farwell Rd Ste 206Spokane, WA 99218-8208
Phone 509-484-4591 · Fax 509-484-7882
Mailing address
309 E Farwell Rd Ste 206Spokane, WA 99218-8208
Phone 509-484-4591 · Fax 509-484-7882
Authorized official
William Andrew Wray
Owner/Physician
5094844591
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All 22 Dermatology Physician providers in Spokane · All 16,657 providers in Spokane
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