Organization

Carol L Hathaway, M.D., P.S.

Specialist in Spokane Valley, WA(View on Map)

Legal Business Name

Carol L Hathaway, M.D., P.S.

NPI Number

1396046389

NPI Type

Organization

Enumeration Date

11/08/2010

Specialties

(Taxonomies)

Code

174400000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

MD00028628

Contact
Information

Purpose

Mailing
Location

Address

1415 N HOUK RD STE B
1415 N HOUK RD STE B

City

Spokane Valley
Spokane Valley

State

WA
WA

Postal Code

99216-1043
99216-1043

Country

US
US

Telephone Number

(509) 921-9938
(509) 921-9938

Authorized Official

Name

Dr. Carol Hathaway

Title or Position

PRESIDENT

Telephone Number

(509) 921-9938

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/08/2010

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