Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | TRN13848 | ZZ |
Y | 2080P0210X | Pediatric Nephrologist | MD60537129 | WA |
NPI | 1225343486 |
---|---|
Provider Name | Dr. Haendel Adrian Munoz Vega |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Spokane, WA 99204-2302 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2010 |
Last Update Date | 25/05/2021 |