Providence Physician Services Co

NPI #1013234772 in Spokane, Washington

Provider Information

NPI Number
1013234772
Entity Type
Organization
Organization Name
Providence Physician Services Co
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE PHYSICIAN SERVICES CO
Primary Specialty
Obstetrics & Gynecology
Enumeration Date
Apr 21, 2010
Last Updated
Feb 18, 2011

Practice Location

Address
101 W 8TH AVE
Address 2
STE 1300
ZIP Code
99204-2307
Phone
(509) 474-7370

Authorized Official

Name
ANSELMO NUNEZ
Title
CHIEF EXECUTIVE
Phone
(509) 474-6616

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology - GynecologyGynecology
Obstetrics & Gynecology

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