Inland Empire Gastroenterology Ps | |
105 W 8th Ave Ste 6050 Spokane WA 99204-2302 | |
(509) 747-0143 | |
(509) 744-1571 |
Full Name | Inland Empire Gastroenterology Ps |
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Speciality | Internal Medicine - Gastroenterology |
Location | 105 W 8th Ave, Spokane, Washington |
Authorized Official Name and Position | Michelle L Johnson (BUSINESS OFFICE MNGR) |
Authorized Official Contact | 5094621525 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inland Empire Gastroenterology Ps 105 W 8th Ave Ste 6050 Spokane WA 99204-2302 Ph: (509) 747-0143 | Inland Empire Gastroenterology Ps 105 W 8th Ave Ste 6050 Spokane WA 99204-2302 Ph: (509) 747-0143 |
NPI Number | 1750380812 |
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Provider Enumeration Date | 07/20/2005 |
Last Update Date | 11/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750380812 | NPI | - | NPPES |
7089501 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 601859779 (Washington) | Primary |
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