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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1588714489 |
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| LBN Legal business name | COEUR D ALENE SPINE AND BRAIN PLLC | ||||||||||||||||||||||||||||||||||||
| Authorized official | LISA TANSY - (ADMINISTRATOR) | ||||||||||||||||||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||||||||||||||||||||||
| Enumeration date | 01/11/2007 | ||||||||||||||||||||||||||||||||||||
| Last updated | 02/23/2023 - About 3 years ago | ||||||||||||||||||||||||||||||||||||
| Identifiers |
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COEUR D ALENE SPINE AND BRAIN PLLC
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| ROY R HENNEBERG, MD 980 W IRONWOOD DR COEUR D'ALENE, ID |
| PETER W RASMUSSEN, LMP 15404 E SPRINGFIELD AVE SPOKANE VALLEY, WA |
| SPOKANE CRITICAL CARE ASSOCIATES, PS 12615 E MISSION AVE SPOKANE VALLEY, WA |
| TY J ROCKWELL, LMT 12121 E. BROADWAY, BLDG 5B SPOKANE VALLEY, WA |
| JANET L GANNON, LMP 12121 E BROADWAY SPOKANE VALLEY, WA |
| LYUDMILA LARKIN, LMT 8120 E. VISTA LANE SPOKANE, WA |
| ANDREY V ALTUKHOV, L.M.P 906 S. PARK RD SPOKANE VALLEY, WA |
| JONNIE J SKORICK 14411 E HOPPER RD SPOKANE, WA |
| DAVID D SANDSTROM, L.M.P. 3418 S GRAND BLVD SPOKANE, WA |
| MARLENE R SULLIVAN, L.M.T. 933 W. 3RD AVE SUITE 214 SPOKANE, WA |
COEUR D ALENE SPINE AND BRAIN PLLC