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D. Todd Wylie, O.d., Inc.
Clinic/Center in Spokane, Washington
NPI 1730378308

D. Todd Wylie, O.d., Inc. is a Clinic/Center based in Spokane, WA. D. Todd Wylie, O.d., Inc. practices in Spokane, WA. The NPI Number for D. Todd Wylie, O.d., Inc. is 1730378308 and holds a License No. 1528TX (Washington).

The current practice location address for D. Todd Wylie, O.d., Inc. is 104 S Freya Street, Spokane, WA and can be reached out via phone at 509-535-5855 and via fax at 509-535-3916.

Location: 104 S Freya Street, Spokane, WA, 99202-4867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730378308
Provider Name
D. Todd Wylie, O.d., Inc.
Credential
Provider Entity Type
Organization
Address
104 S Freya Street, Spokane, WA, 99202-4867
Phone Number
509-535-5855
Fax Number
509-535-3916
Provider Enumeration Date
10/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GAB20237 01 WA MEDICARE
2024842 05 WA
institution
Provider Business Practice Location Address Details
Address
104 S Freya Street
City
Spokane
State
Washington
Zip
99202-4867
Phone Number
509-535-5855
Fax Number
509-535-3916
person
Provider Business Mailing Address Details
Address
104 S Freya Street
City
Spokane
State
Washington
Zip
99202-4867
Phone Number
509-535-5855
Fax Number
509-535-3916
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1528TX (Washington)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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