Providence Physician Services Co

NPI #1609193374 in Spokane, Washington

Provider Information

NPI Number: 1609193374
Entity Type: Organization
Organization Name: Providence Physician Services Co
Subpart: Yes (part of a larger organization)
Parent Organization: PROVIDENCE PHYSICIAN SERVICES CO
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Apr 21, 2010
Last Updated: Feb 18, 2011

Practice Location

Address: 820 S MCCLELLAN ST
Address 2: STE 300
City: Spokane
State: Washington
ZIP Code: 99204-2457
Phone: (509) 464-7880

Authorized Official

Name: ANSLEMO NUNEZ
Title: CHIEF EXECUTIVE
Phone: (509) 474-6616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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