Providence Physician Services Co
NPI #1316264088 in Colville, Washington
Provider Information
- NPI Number
- 1316264088
- Entity Type
- Organization
- Organization Name
- Providence Physician Services Co
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE PHYSICIAN SERVICES CO
- Primary Specialty
- Internal Medicine - Cardiovascular Disease
- Enumeration Date
- Apr 21, 2010
- Last Updated
- Feb 28, 2011
Practice Location
- Address
- 982 E COLUMBIA AVE
- City
- Colville
- State
- Washington
- ZIP Code
- 99114-3316
- Phone
- (608) 684-3701
Authorized Official
- Name
- ANSELMO NUNEZ
- Title
- CFO
- Phone
- (509) 474-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Urology |
| Internal Medicine - Cardiovascular Disease — Cardiovascular Disease |
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