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212 E Central Ste 440 Spokane WA 99208-6290 | |
| (509) 252-9602 | |
| (509) 789-9031 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 212 E Central, Spokane, Washington |
| Authorized Official Name and Position | Anselmo Nunez (CHIEF EXECUTIVE) |
| Authorized Official Contact | 5094746616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: () - | 212 E Central Ste 440 Spokane WA 99208-6290 Ph: (509) 252-9602 |
| NPI Number | 1790002467 |
|---|---|
| Provider Enumeration Date | 04/21/2010 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790002467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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