| Oconnor Family Medicine Pllc | |
|
309 E Farwell Rd 204 Spokane WA 99218-8207 | |
| (509) 385-0600 | |
| (509) 466-4798 |
| Full Name | Oconnor Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 309 E Farwell Rd, Spokane, Washington |
| Authorized Official Name and Position | Jeffrey Robert O'connor (OWNER) |
| Authorized Official Contact | 5093850600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oconnor Family Medicine Pllc 309 E Farwell Rd 204 Spokane WA 99218-8207 Ph: (509) 385-0600 | Oconnor Family Medicine Pllc 309 E Farwell Rd 204 Spokane WA 99218-8207 Ph: (509) 385-0600 |
| NPI Number | 1760786933 |
|---|---|
| Provider Enumeration Date | 01/03/2011 |
| Last Update Date | 10/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760786933 | NPI | - | NPPES |
| 603063268 | Other | WA | UBI |
| 1029367 | Medicaid | WA | |
| DR3582 | Other | WA | RR PTAN |
| G8899209 | Other | WA | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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