PROVIDENCE PHYSICIAN SERVICES CO NPI 1356646202

NPI Information

NPI: 1356646202
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PROVIDENCE INLAND VASCULAR INSTITUTE

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
122 W 7TH AVE
STE 420
SPOKANE, WA
ZIP 99204
Phone: (509) 838-8286
Get Directions

PROVIDENCE PHYSICIAN SERVICES CO is a vascular surgery surgery in Spokane, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1356646202. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Providence Inland Vascular Institute.

The provider's business location address is:

122 W 7TH AVE
STE 420
SPOKANE, WA
ZIP 99204-349
Phone: (509) 838-8286

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 enumeration date for this NPI number is 1/24/2011 and was last updated on 3/24/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	600503827	WASHINGTON	Yes

What is NPI?

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This page was last updated on: 11/14/2023

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