Liberty Lake Family & Sports Medicine, P.s.

NPI #1043407935 in Liberty Lake, Washington

Provider Information

NPI Number
1043407935
Entity Type
Organization
Organization Name
Liberty Lake Family & Sports Medicine, P.s.
Primary Specialty
Family Medicine - Sports Medicine
Enumeration Date
Sep 25, 2007
Last Updated
Oct 4, 2011

Practice Location

Address
2207 N MOLTER RD
Address 2
STE 101
ZIP Code
99019-7571
Phone
(509) 921-7755

Authorized Official

Name
TIMOTHY MANSON
Title
OWNER
Phone
(509) 921-7755

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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