Basic Information
Provider Information
NPI: 1316007966
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HVAL
FirstName: DARROL
MiddleName: K
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 421
Address2:  
City: LIBERTY LAKE
State: WA
PostalCode: 990190421
CountryCode: US
TelephoneNumber: 8664742455
FaxNumber: 5092277070
Practice Location
Address1: 551 E HAWTHORNE RD
Address2:  
City: SPOKANE
State: WA
PostalCode: 992181417
CountryCode: US
TelephoneNumber: 5094892369
FaxNumber: 5092277070
Other Information
ProviderEnumerationDate: 12/12/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOP00001499WAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207P00000XOP00001499WAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

ID Information
IDTypeStateIssuerDescription
821065005WA MEDICAID


Home