Providence Physician Services Co.
NPI #1295135598 in Spokane, Washington
Provider Information
- NPI Number
- 1295135598
- Entity Type
- Organization
- Organization Name
- Providence Physician Services Co.
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Aug 25, 2014
- Last Updated
- Jan 29, 2016
Practice Location
- Address
- 212 E CENTRAL AVE
- Address 2
- SUITE 245
- City
- Spokane
- State
- Washington
- ZIP Code
- 99208-6291
- Phone
- (509) 465-3026
Authorized Official
- Name
- BILLIE JEAN MOUNTS
- Title
- CHIEF REIMBURSEMENT OFFICER
- Phone
- (425) 687-3910
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
| Prosthetic/Orthotic Supplier |
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