Liberty Lake Direct Primary Care Pllc
NPI #1558048280 in Liberty Lake, Washington
Provider Information
- NPI Number
- 1558048280
- Entity Type
- Organization
- Organization Name
- Liberty Lake Direct Primary Care Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 4, 2023
- Last Updated
- Jul 4, 2023
Practice Location
- Address
- 2207 N MOLTER RD
- City
- Liberty Lake
- State
- Washington
- ZIP Code
- 99019-7570
- Phone
- (509) 348-2214
Authorized Official
- Name
- DR. JARED W. NELSON, M.D.
- Title
- OWNER
- Phone
- (509) 828-5250
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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