Community Healthcare of the Palouse

NPI #1346263308 in Moscow, Idaho

Provider Information

NPI Number
1346263308
Entity Type
Organization
Organization Name
Community Healthcare of the Palouse
Primary Specialty
Family Medicine
Enumeration Date
Jul 25, 2006
Last Updated
Oct 10, 2007

Practice Location

Address
619 S WASHINGTON ST
Address 2
STE 203
City
Moscow
State
Idaho
ZIP Code
83843-3090
Phone
(208) 892-1346

Authorized Official

Name
ROBERT NEAL SPADY, MD
Title
GENERAL PARTNER
Phone
(208) 892-1346

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