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ROBERT I HUSTRULID MD, PLLC

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Company Details

Legal Name: ROBERT I HUSTRULID MD, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 10th 2020
Expiration date: 30 Sep 2025
UBI Number: 604 657 086
ZIP code: 99216
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1201 N. EVERGREEN, SPOKANE VALLEY, WA, 99216, UNITED STATES

Contact Details

E-Mail: BOB@COUNTRYDOCTORS.COM
Phone Number: +1 509-951-3979

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SCOTT SMITH Registered Agent 717 W SPRAGUE AVE STE 1200, SPOKANE, WA, 99201-3905, UNITED STATES

Key Officers & Management

Name Role Address
ROBERT HUSTRULID Executor 3807 S SOMMER RD, VERADALE, WA, 99037-9136, UNITED STATES
ROBERT HUSTRULID Governing Person 312 W SPRAGUE AVE, SPOKANE, WA, 99201-3711, UNITED STATES

National Provider Identifier

NPI Number:
1265049829
Certification Date:
2020-12-21

Authorized Person:

Name:
ROBERT IVER HUSTRULID
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5094951244
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