| |
1414 N Vercler Rd Ste 4 Spokane Valley WA 99216-1092 | |
(509) 924-4681 | |
(509) 922-7634 |
Full Name | |
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Speciality | Family Medicine |
Location | 1414 N Vercler Rd Ste 4, Spokane Valley, Washington |
Authorized Official Name and Position | Bryce Hunter Gilman (PRESIDENT) |
Authorized Official Contact | 5099244681 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1414 N Vercler Rd Ste 4 Spokane Valley WA 99216-1092 Ph: (509) 924-4681 | 1414 N Vercler Rd Ste 4 Spokane Valley WA 99216-1092 Ph: (509) 924-4681 |
NPI Number | 1770631327 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 01/25/2022 |
Medicare PECOS PAC ID | 9032007299 |
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Medicare Enrollment ID | O20040309000527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770631327 | NPI | - | NPPES |
7049372 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bryce Hunter Gilman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730261785 PECOS PAC ID: 4486612405 Enrollment ID: I20080812000666 |
Provider Name | Angel Aguilar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629552518 PECOS PAC ID: 0143565077 Enrollment ID: I20181221001199 |
Provider Name | Laurel Ann Dimler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386028942 PECOS PAC ID: 3779880265 Enrollment ID: I20190905003383 |
Provider Name | Jennifer Michelle Paulsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891409090 PECOS PAC ID: 5698149797 Enrollment ID: I20230313000344 |
Pure Healthcare Of Washington Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16201 E Indiana Ave Ste 3100, Spokane Valley, WA 99216 Phone: 509-418-9880 Fax: 509-267-3119 | |
Spokane Valley Neuropathy Relief Center, P.s. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12409 E Mission Ave, Suite 102, Spokane Valley, WA 99216 Phone: 509-926-5117 Fax: 509-926-5197 | |
Integra Health And Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16201 E Indiana Ave Ste 2260, Spokane Valley, WA 99216 Phone: 509-970-5750 |