Pong Xiong, | |
624 E Front Ave, Spokane, WA 99202-2139 | |
(509) 626-9900 | |
Not Available |
Full Name | Pong Xiong |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 624 E Front Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1922654532 | NPI | - | NPPES |
Entity Name | Providence Health & Services Washington |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20040311001453 |
Mailing Address | Practice Location Address |
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Pong Xiong, Po Box 421, Liberty Lake, WA 99019-0421 Ph: (866) 747-2455 | Pong Xiong, 624 E Front Ave, Spokane, WA 99202-2139 Ph: (509) 626-9900 |
Robert Leonard Mulvihill, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S. Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 | |
Dr. Jason Lamar Aldred, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 S Sherman St, Suite 201, Spokane, WA 99202 Phone: 509-458-7720 Fax: 509-777-0432 | |
Abdelrahman Fouad Ahmed Beltagy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-2894 Fax: 509-474-2895 | |
Jocelyn Cayla Mccornack, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 | |
Hyung Uk Park, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9631 N Nevada St Ste 300, Spokane, WA 99218 Phone: 509-465-3919 | |
Laura C Moss, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-4818 | |
Thomas Stanley Beck Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |