| Pps Providence Epilepsy Center | |
|
105 W 8th Ave Ste 318 Spokane WA 99204-2302 | |
| (509) 474-6650 | |
| Not Available |
| Full Name | Pps Providence Epilepsy Center |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 105 W 8th Ave, 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 |
|---|---|
| Pps Providence Epilepsy Center 101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: () - | Pps Providence Epilepsy Center 105 W 8th Ave Ste 318 Spokane WA 99204-2302 Ph: (509) 474-6650 |
| NPI Number | 1669799391 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669799391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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