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Jesus Primitivo Rendon, PA-C
Medical Physician Assistant in Spokane, Washington
NPI 1467970616

Jesus Primitivo Rendon is a Medical Physician Assistant based in Spokane, WA and is specialized in Medical. Jesus Primitivo Rendon practices in Spokane, WA and has the professional credentials of PA-C. The NPI Number for Jesus Primitivo Rendon is 1467970616 and holds a License No. PA60932463 (Washington).

The current practice location address for Jesus Primitivo Rendon is 5620 S Regal St Ste 11, Spokane, WA and can be reached out via phone at 509-444-8200.

Location: 5620 S Regal St Ste 11, Spokane, WA, 99202-4932
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Provider Profile Details
NPI Number
1467970616
Provider Name
Jesus Primitivo Rendon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
5620 S Regal St Ste 11, Spokane, WA, 99202-4932
Phone Number
509-444-8200
Fax Number
Provider Enumeration Date
09/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OA60965163 01 WA STATE LICENSE
PA60932463 01 WA STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
5620 S Regal St Ste 11
City
State
Zip
99223-7957
Phone Number
509-444-8200
Fax Number
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Provider Business Mailing Address Details
Address
5620 S Regal St Ste 11
City
State
Zip
99223-7957
Phone Number
509-444-8200
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA60932463 (Washington)
Definition
Definition to come...
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