| Pps Providence Family Medicine 5th & Browne | |
|
104 W 5th Ave Suite 390e Spokane WA 99204 | |
| (509) 385-8778 | |
| Not Available |
| Full Name | Pps Providence Family Medicine 5th & Browne |
|---|---|
| Speciality | Family Medicine |
| Location | 104 W 5th Ave, Spokane, Washington |
| Authorized Official Name and Position | Michael Mallory (CRED. SPECIALIST) |
| Authorized Official Contact | 4255256798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pps Providence Family Medicine 5th & Browne Po Box 34439 Seattle WA 98124-1439 Ph: () - | Pps Providence Family Medicine 5th & Browne 104 W 5th Ave Suite 390e Spokane WA 99204 Ph: (509) 385-8778 |
| NPI Number | 1336433812 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336433812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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