Providence Physician Services Co
NPI #1447576137 in Spokane, Washington
Provider Information
- NPI Number
- 1447576137
- Entity Type
- Organization
- Organization Name
- Providence Physician Services Co
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDENCE PHYSICIAN SERVICES CO
- Primary Specialty
- Urology - Pediatric Urology
- Enumeration Date
- Apr 20, 2010
- Last Updated
- Feb 18, 2011
Practice Location
- Address
- 315 W 9TH AVE
- Address 2
- STE 200
- City
- Spokane
- State
- Washington
- ZIP Code
- 99204-2501
- Phone
- (509) 624-3126
Authorized Official
- Name
- ANSELMO NUNEZ
- Title
- CHIEF EXECUTIVE
- Phone
- (509) 474-6616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology - Pediatric Urology — Pediatric Urology |
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