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1314 S Grand Blvd Ste 2 Spokane WA 99202-1174 | |
| (813) 955-2827 | |
| (866) 611-7552 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1314 S Grand Blvd Ste 2, Spokane, Washington |
| Authorized Official Name and Position | Archiel Buagas-kintanar (PROVIDER/OWNER) |
| Authorized Official Contact | 5092288323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3690 W Gandy Blvd Tampa FL 33611-2608 Ph: (509) 228-8323 | 1314 S Grand Blvd Ste 2 Spokane WA 99202-1174 Ph: (813) 955-2827 |
| NPI Number | 1215475744 |
|---|---|
| Provider Enumeration Date | 02/03/2017 |
| Last Update Date | 05/24/2023 |
| Certification Date | 05/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215475744 | NPI | - | NPPES |
| 1942560263 | Other | FL | NPI |
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