Providence Surgery and Procedure Center LLC
NPI #1205545860 in Spokane Valley, Washington
Provider Information
- NPI Number
- 1205545860
- Entity Type
- Organization
- Organization Name
- Providence Surgery and Procedure Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 22, 2022
- Last Updated
- Oct 11, 2024
Practice Location
- Address
- 16528 E DESMET CT
- City
- Spokane Valley
- State
- Washington
- ZIP Code
- 99216-3522
- Phone
- (509) 944-8960
Authorized Official
- Name
- JONATHAN BAILEY
- Title
- OFFICER/AUTHORIZED OFFICIAL
- Phone
- (203) 609-1168
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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