Providence Physician Services Co

NPI #1740566173 in Spokane, Washington

Provider Information

NPI Number
1740566173
Entity Type
Organization
Organization Name
Providence Physician Services Co
Subpart
Yes (part of a larger organization)
Parent Organization
PROVIDENCE PHYSICIAN SERVICES
Primary Specialty
Internal Medicine
Enumeration Date
Oct 31, 2011
Last Updated
Oct 31, 2011

Practice Location

Address
212 CENTRAL AVE SUITE 440
ZIP Code
99208
Phone
(425) 525-6798

Authorized Official

Name
MISS MICHAEL MALLORY
Title
CRED. SPECIALIST
Phone
(425) 525-6798

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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