Dr. Deborah Ann Icenogle
MD | Pediatrics | Female
Dr. Deborah Ann Icenogle, MD is a Spokane, Washington based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Deborah Ann Icenogle is
5011 W Lowell Ave Ste 100, Spokane, Washington - 99208-8587. She can be contacted on phone at
509-299-1958 and fax number 509-299-1070.
Dr. Deborah Ann Icenogle is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Deborah Ann Icenogle is
1831296177 which was assigned by NPPES on 20 Sep, 2006 and it was last updated on 21 Jul, 2022.
Dr. Deborah Ann Icenogle license number is
MD00028918 for Pediatrics (208000000X) in Washington.
Dr. Deborah Ann Icenogle is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Deborah Ann Icenogle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Deborah Ann Icenogle |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Deborah Ann Icenogle address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5011 W Lowell Ave Ste 100
Spokane, WA, 99208-8587
United States |
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| Phone Number : | 509-299-1958 |
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| Fax Number : | 509-299-1070 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1831296177 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Sep, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Deborah Ann Icenogle are as mentioned. Primary taxonomy code for Dr. Deborah Ann Icenogle, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208D00000X | General Practice | No | MD00028918 | WA |
| 208000000X | Pediatrics | Yes | MD00028918 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Deborah Ann Icenogle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1120765 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 421
Liberty Lake, WA, 99019-0421
United States |
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| Phone Number : | 509-385-0610 |
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| Fax Number : | 509-227-7070 |
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Business Location:
Patients can refer following map for directions to
Dr. Deborah Ann Icenogle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.