| Physicians Clinic Of Spokane Ps | |
|
820 S Mcclellan #ll10 Spokane WA 99204 | |
| (509) 353-3973 | |
| (509) 838-8275 |
| Full Name | Physicians Clinic Of Spokane Ps |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 820 S Mcclellan, Spokane, Washington |
| Authorized Official Name and Position | Krik Rowbotham (CEO) |
| Authorized Official Contact | 5097471144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Clinic Of Spokane Ps 820 S Mcclellan #ll10 Spokane WA 99204 Ph: (509) 353-3973 | Physicians Clinic Of Spokane Ps 820 S Mcclellan #ll10 Spokane WA 99204 Ph: (509) 353-3973 |
| NPI Number | 1336186105 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 06/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336186105 | NPI | - | NPPES |
| 7202609 | Medicaid | WA | |
| 00606 | Other | WA | L & I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | L0620049 (Washington) | Primary |
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