Providence Physician Services Co

NPI #1023310489 in Spokane, Washington

Provider Information

NPI Number
1023310489
Entity Type
Organization
Organization Name
Providence Physician Services Co
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE PHYSICIAN SERVICES CO
Primary Specialty
Orthopaedic Surgery
Enumeration Date
Nov 17, 2010
Last Updated
Feb 18, 2011

Practice Location

Address
820 S MCCLELLAN
Address 2
STE 300
ZIP Code
99204-2450
Phone
(509) 838-7100

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery

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