| Dr Deborah Ann Icenogle, MD | |
|
5011 W Lowell Ave Ste 100, Spokane, WA 99208-8587 | |
| (509) 299-1958 | |
| (509) 299-1070 |
| Full Name | Dr Deborah Ann Icenogle |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5011 W Lowell Ave Ste 100, Spokane, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831296177 | NPI | - | NPPES |
| 1120765 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD00028918 (Washington) | Secondary |
| 208000000X | Pediatrics | MD00028918 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deborah Ann Icenogle, MD Po Box 421, Liberty Lake, WA 99019-0421 Ph: (509) 385-0610 | Dr Deborah Ann Icenogle, MD 5011 W Lowell Ave Ste 100, Spokane, WA 99208-8587 Ph: (509) 299-1958 |
Robert E Piston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 Fax: 509-483-7631 | |
Dr. Tanisha Kamille Morton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 6002 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-4402 | |
Carolanne Lyons, Pediatrics Medicare: Medicare Enrolled Practice Location: 1402 S Grand Blvd, Spokane, WA 99203 Phone: 509-455-8220 Fax: 509-455-9172 | |
Sarah E D'hulst, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 400 E 5th Ave, Spokane, WA 99202 Phone: 509-838-2531 | |
Dr. Joseph Paul Kincaid, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 408 W 25th Ave, Spokane, WA 99203 Phone: 509-999-8237 | |
Carrie Elizabeth Laborde, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 101 W 8th Ave Fl 3, Spokane, WA 99204 Phone: 509-474-2777 Fax: 509-474-6222 | |
Dr. David Ross Goshorn, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Pshmc 3rd Flr, Spokane, WA 99204 Phone: 509-474-2277 |