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PROVIDENCE PHYSICIAN SERVICES CO NPI 1093032757


NPI Information

NPI: 1093032757
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PPS PSHMC PEDS ENDOCRINOLOGY

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 50D1028351

Address:
101 W 8TH AVE
STE 100 L-1
SPOKANE, WA
ZIP 99204
Phone: (509) 474-2880
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PROVIDENCE PHYSICIAN SERVICES CO is a pediatric endocrinology pediatrics in Spokane, WA. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1093032757. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Pshmc Peds Endocrinology.

The provider's business location address is:

101 W 8TH AVE
STE 100 L-1
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-2880

The provider's authorized official is Anselmo Nunez .
The authorized official title is Chief Executive and has the following contact phone number (509) 474-6616.

The CLIA number assigned to this NPI record is 50D1028351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/21/2010 and was last updated on 2/18/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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