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105 W 8th Ave Ste 450e Spokane WA 99204-2302 | |
(509) 474-6920 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
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 |
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101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: () - | 105 W 8th Ave Ste 450e Spokane WA 99204-2302 Ph: (509) 474-6920 |
NPI Number | 1740507474 |
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Provider Enumeration Date | 04/20/2010 |
Last Update Date | 02/18/2011 |
Identifier | Type | State | Issuer |
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1740507474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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