Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | MD 00042253 | WA |
NPI | 1336419795 |
---|---|
Provider Name | Dr. Debra M. Iannuzzi |
First Address | Spokane, WA 99204-4880 |
Second Address | Spokane, WA 99204-4880 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2012 |
Last Update Date | 12/12/2013 |