Providence Physician Services Co
NPI #1245557917 in Chewelah, Washington
Provider Information
- NPI Number
- 1245557917
- 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 28, 2011
Practice Location
- Address
- 518 CLAY STREET
- City
- Chewelah
- State
- Washington
- ZIP Code
- 99109
- Phone
- (509) 684-3701
Authorized Official
- Name
- ANSELMO NUNEZ
- Title
- CHIEF EXECUTIVE
- Phone
- (509) 474-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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