| Alliance Primary Care, Pllc | |
|
203 E Dalke Ave Ste B Spokane WA 99208-8112 | |
| (509) 724-0198 | |
| Not Available |
| Full Name | Alliance Primary Care, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 203 E Dalke Ave Ste B, Spokane, Washington |
| Authorized Official Name and Position | Cody Ellefsen (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5097240198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Primary Care, Pllc 203 E Dalke Ave Ste B Spokane WA 99208-8112 Ph: (509) 724-0198 | Alliance Primary Care, Pllc 203 E Dalke Ave Ste B Spokane WA 99208-8112 Ph: (509) 724-0198 |
| NPI Number | 1750731311 |
|---|---|
| Provider Enumeration Date | 06/15/2016 |
| Last Update Date | 06/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750731311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OP00002282 (Washington) | Primary |
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