| Organization Name: | NORTH SPOKANE GYNECOLOGY AND COSMETIC LASER PC |
| NPI Number: | 1437330735 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN J TEWEL (PRESIDENT) |
| Mailing Address: | 235 E Rowan Ave Suite 109 Spokane |
| State: | WA US |
| Postal Code: | 992071240 |
| Phone Number: | 5094824313 |
| Fax Number: | 5094822918 |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 025209 MD00020672 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |