Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | MD60960564 | WA |
NPI | 1619234135 |
---|---|
Provider Name | Hannah Elizabeth Qualls |
First Address | Spokane, WA 99210-2242 |
Second Address | Spokane, WA 99201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 28/06/2019 |