SPOKANE ENT CLINIC MAYFAIR is a non pharmacy dispensing site in Spokane, WA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) SPOKANE ENT CLINIC MAYFAIR NPI is 1033154273. The provider is registered as an organization entity type.
The provider Is Doing Business As Jan S Connelly Md.
The provider's business location address is:
5901 N MAYFAIR ST
SPOKANE, WA
ZIP 99208-096
Phone: (509) 489-3514
Fax: (509) 483-2546
The provider's authorized official is Direndia Shackelford .
The authorized official title is Managed Care Specialist and has the following contact phone number (800) 654-0889.
The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/22/2020.