| Northwest Neurological Pllc | |
|
1520 W 3rd Ave Ste 101 Spokane WA 99201-7040 | |
| (509) 747-5165 | |
| (509) 747-5133 |
| Full Name | Northwest Neurological Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1520 W 3rd Ave Ste 101, Spokane, Washington |
| Authorized Official Name and Position | David R Greeley (PHYSICIAN OWNER) |
| Authorized Official Contact | 5097475615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Neurological Pllc 1520 W 3rd Ave Ste 101 Spokane WA 99201-7040 Ph: (509) 747-5165 | Northwest Neurological Pllc 1520 W 3rd Ave Ste 101 Spokane WA 99201-7040 Ph: (509) 747-5165 |
| NPI Number | 1427188465 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 04/11/2024 |
| Medicare PECOS PAC ID | 9234121955 |
|---|---|
| Medicare Enrollment ID | O20040401001245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427188465 | NPI | - | NPPES |
| 7117526 | Medicaid | WA |
| Provider Name | Susie Ro |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902965643 PECOS PAC ID: 7810932308 Enrollment ID: I20070928000316 |
| Provider Name | David R Greeley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386758712 PECOS PAC ID: 2365434081 Enrollment ID: I20100208000649 |
| Provider Name | Colleen Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720569593 PECOS PAC ID: 0547506859 Enrollment ID: I20190321002946 |
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