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PROVIDENCE PHYSICIAN SERVICES CO NPI 1548587207


NPI Information

NPI: 1548587207
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PPS PSHMC PEDIATRIC SURGERY

Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
101 W 8TH AVE
STE 100 L-1
SPOKANE, WA
ZIP 99204
Phone: (509) 474-5445
Get Directions

PROVIDENCE PHYSICIAN SERVICES CO is a pediatric surgery surgery in Spokane, WA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1548587207. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Pshmc Pediatric Surgery.

The provider's business location address is:

101 W 8TH AVE
STE 100 L-1
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-5445

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 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
12086S0120XSurgeryPediatric SurgeryYes

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: 11/14/2023

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