Providence Physician Services Co

NPI #1285960393 in Spokane, Washington

Provider Information

NPI Number: 1285960393
Entity Type: Organization
Organization Name: Providence Physician Services Co
Primary Specialty: Internal Medicine
Enumeration Date: Oct 23, 2009
Last Updated: Dec 10, 2009

Practice Location

Address: 101 W 8TH AVE
City: Spokane
State: Washington
ZIP Code: 99204-2307
Phone: (509) 232-1145

Authorized Official

Name: MR. SEAN M DOUGLAS
Title: CFO
Phone: (509) 474-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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