| Pmg Phc Providence Express Care | |
|
2923 E 29th Ave Spokane WA 99223-4811 | |
| (509) 626-9820 | |
| Not Available |
| Full Name | Pmg Phc Providence Express Care |
|---|---|
| Speciality | General Practice |
| Location | 2923 E 29th Ave, Spokane, Washington |
| Authorized Official Name and Position | Donald Anderson (DIRECTOR REIMBURSEMENT ADMINISTRATI) |
| Authorized Official Contact | 4255255392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmg Phc Providence Express Care Po Box 421 Liberty Lake WA 99019-0421 Ph: () - | Pmg Phc Providence Express Care 2923 E 29th Ave Spokane WA 99223-4811 Ph: (509) 626-9820 |
| NPI Number | 1306391446 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 11/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306391446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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