| Collins Oral & Maxillofacial Surgery, Ps | |
|
322 W 7th Ave Spokane WA 99204-2504 | |
| (509) 624-2202 | |
| Not Available |
| Full Name | Collins Oral & Maxillofacial Surgery, Ps |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 322 W 7th Ave, Spokane, Washington |
| Authorized Official Name and Position | Kristin Humphrey (OFFICE MANAGER) |
| Authorized Official Contact | 5096242204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Oral & Maxillofacial Surgery, Ps 322 W 7th Ave Spokane WA 99204-2504 Ph: (509) 624-2202 | Collins Oral & Maxillofacial Surgery, Ps 322 W 7th Ave Spokane WA 99204-2504 Ph: (509) 624-2202 |
| NPI Number | 1336320621 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336320621 | NPI | - | NPPES |
| 5035753 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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