| Mobile Anesthesia For Children | |
|
9302 N Colton St Suite 100 Spokane WA 99218-1290 | |
| (509) 863-9460 | |
| (509) 868-0428 |
| Full Name | Mobile Anesthesia For Children |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9302 N Colton St, Spokane, Washington |
| Authorized Official Name and Position | Mark William Bottorff (OWNER) |
| Authorized Official Contact | 5099905821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Anesthesia For Children 9302 N Colton St Suite 100 Spokane WA 99218-1290 Ph: (509) 863-9460 | Mobile Anesthesia For Children 9302 N Colton St Suite 100 Spokane WA 99218-1290 Ph: (509) 863-9460 |
| NPI Number | 1356667026 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 04/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356667026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE00009793 (Washington) | Primary |
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