Provider Demographics
NPI:1588941801
Name:SAND, BARBARA GAIL (PA-C)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:GAIL
Last Name:SAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 W 6TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2540
Mailing Address - Country:US
Mailing Address - Phone:509-324-2980
Mailing Address - Fax:509-227-7070
Practice Address - Street 1:307 W 6TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2540
Practice Address - Country:US
Practice Address - Phone:509-324-2980
Practice Address - Fax:509-418-9462
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60792816363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant