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PROVIDENCE PHYSICIAN SERVICES CO NPI 1457678112


NPI Information

NPI: 1457678112
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PPS PSHMC PEDIATRIC GASTROENTEROLOGY

Classification: Pediatrics - 2080P0206X
Entity Type: Organization

Specialization: Pediatric Gastroenterology

Address:
105 W 8TH AVE
STE 150E
SPOKANE, WA
ZIP 99204
Phone: (509) 474-5437
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PROVIDENCE PHYSICIAN SERVICES CO is a pediatric gastroenterology pediatrics in Spokane, WA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1457678112. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Pshmc Pediatric Gastroenterology.

The provider's business location address is:

105 W 8TH AVE
STE 150E
SPOKANE, WA
ZIP 99204-302
Phone: (509) 474-5437

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

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
12080P0206XPediatricsPediatric GastroenterologyYes

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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