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PROVIDENCE PHYSICIAN SERVICES CO NPI 1700103462


NPI Information

NPI: 1700103462
Provider Name: PROVIDENCE PHYSICIAN SERVICES CO

Doing Business As: PPS PSHMC DEVELOPMENTAL PEDIATRICS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
101 W 8TH AVE
STE 4200
SPOKANE, WA
ZIP 99204
Phone: (509) 474-2730
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PROVIDENCE PHYSICIAN SERVICES CO is a developmental - behavioral pediatrics pediatrics in Spokane, WA. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1700103462. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Pshmc Developmental Pediatrics.

The provider's business location address is:

101 W 8TH AVE
STE 4200
SPOKANE, WA
ZIP 99204-307
Phone: (509) 474-2730

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 2/28/2011.


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
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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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