Providence Physician Services Co
NPI #1205152931 in Spokane, Washington
Provider Information
- NPI Number
- 1205152931
- Entity Type
- Organization
- Organization Name
- Providence Physician Services Co
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE PHYSICIAN SERVICES CO
- Primary Specialty
- Transplant Surgery
- Enumeration Date
- Apr 20, 2010
- Last Updated
- Feb 18, 2011
Practice Location
- Address
- 105 W 8TH AVE
- Address 2
- STE 1000
- City
- Spokane
- State
- Washington
- ZIP Code
- 99204-2302
- Phone
- (509) 474-4500
Authorized Official
- Name
- ANSELMO NUNEZ
- Title
- CHIEF EXECUTIVE
- Phone
- (509) 474-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Transplant Surgery |
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