Individual provider · Type 1 NPI
Travis Wade Dierks, MD
Emergency Medical Services (Emergency Medicine) Physician · Spokane, WA
Practice location
800 W 5th Ave
Spokane, WA 99204-2803
Fax (509) 473-4916
Mailing address
PO Box 34640
Seattle, WA 98124-1640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | MD60009256 (WA) |
Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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About NPI 1982820965
Travis Wade Dierks, MD's National Provider Identifier is 1982820965, issued on Apr 18, 2007. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Spokane, WA. The record was last updated on Aug 5, 2010.