PROVIDENCE PHYSICIAN SERVICES CO NPI 1649597303

NPI Information

PROVIDENCE PHYSICIAN SERVICES CO is an adolescent medicine internal medicine in Spokane, WA. The provider is an internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1649597303. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Pshmc Adolescent Medicine.

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:

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