Basic Information
Provider Information
NPI: 1104903848
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YURASEK
FirstName: MARIA
MiddleName: CHRISTINE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1925 E 42ND AVE
Address2:  
City: SPOKANE
State: WA
PostalCode: 992034206
CountryCode: US
TelephoneNumber: 5094485902
FaxNumber:  
Practice Location
Address1: 4815 N ASSEMBLY ST
Address2:  
City: SPOKANE
State: WA
PostalCode: 992056185
CountryCode: US
TelephoneNumber: 5094347000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XMD00027463WAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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