Basic Information
Provider Information
NPI: 1518946144
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHAVEZ MURAMATSU
FirstName: JAMES
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 3649
Address2:  
City: SPOKANE
State: WA
PostalCode: 992203649
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber:  
Practice Location
Address1: 9001 N COUNTRY HOMES BLVD
Address2:  
City: SPOKANE
State: WA
PostalCode: 992182072
CountryCode: US
TelephoneNumber: 5098382531
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/12/2006
LastUpdateDate: 10/21/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XOP00002119WAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home