Individual provider · Type 1 NPI

Gwyneth Blattau, MD

Medical Specialty Clinic/Center · Spokane, WA

NPI number 1932258522 Active

Practice location

12519 N Division St, Suite 6
Spokane, WA 99218-1389

Fax (855) 474-9086

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XMD60271577 (WA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1932258522

Gwyneth Blattau, MD's National Provider Identifier is 1932258522, issued on Jan 10, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Spokane, WA. The record was last updated on Feb 16, 2015.