| Providence Physician Services Co | |
|
101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 | |
| (509) 489-5019 | |
| Not Available |
| Full Name | Providence Physician Services Co |
|---|---|
| Speciality | Family Medicine |
| Location | 101 W 8th Ave, Spokane, Washington |
| Authorized Official Name and Position | Sean M Douglas (CFO) |
| Authorized Official Contact | 5094742225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Physician Services Co 101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: () - | Providence Physician Services Co 101 W 8th Ave Mother Gamelin Center, 3rd Floor Spokane WA 99204-2307 Ph: (509) 489-5019 |
| NPI Number | 1487821096 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 02/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487821096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 600503827 (Washington) | Primary |
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