| Geriatric Family Care, Ps | |
|
1010 W Rosewood Ave Spokane WA 99208-4257 | |
| (509) 465-9776 | |
| (509) 465-9058 |
| Full Name | Geriatric Family Care, Ps |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1010 W Rosewood Ave, Spokane, Washington |
| Authorized Official Name and Position | Bruce H Dentler (OWNER) |
| Authorized Official Contact | 5094659776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Family Care, Ps 1010 W Rosewood Ave Spokane WA 99208-4257 Ph: (509) 465-9776 | Geriatric Family Care, Ps 1010 W Rosewood Ave Spokane WA 99208-4257 Ph: (509) 465-9776 |
| NPI Number | 1366640633 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366640633 | NPI | - | NPPES |
| 7083884 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | MD000141 (Washington) | Primary |
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