| |
201 W North River Dr Ste 520 Spokane WA 99201-2284 | |
(509) 999-5430 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology |
Location | 201 W North River Dr, Spokane, Washington |
Authorized Official Name and Position | David D Bot (PRESIDENT) |
Authorized Official Contact | 5099995430 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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201 W North River Dr Suite 520 Spokane WA 99201-2284 Ph: () - | 201 W North River Dr Ste 520 Spokane WA 99201-2284 Ph: (509) 999-5430 |
NPI Number | 1679942619 |
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Provider Enumeration Date | 09/21/2015 |
Last Update Date | 09/21/2015 |
Medicare PECOS PAC ID | 9436459203 |
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Medicare Enrollment ID | O20151130002118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679942619 | NPI | - | NPPES |
1077775 | Medicaid | WA | |
G000304612 | Other | WA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | David D Bot |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578789335 PECOS PAC ID: 9931257235 Enrollment ID: I20121016000162 |
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