| Providence Valley Family Physicians | |
|
12509 E Mission Ave Ste 102 Spokane Valley WA 99216-1049 | |
| (509) 938-7100 | |
| Not Available |
| Full Name | Providence Valley Family Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 12509 E Mission Ave, Spokane Valley, Washington |
| Authorized Official Name and Position | Kevin Walstrom (CFO) |
| Authorized Official Contact | 5094822367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Valley Family Physicians Po Box 34908 Seattle WA 98124-1908 Ph: () - | Providence Valley Family Physicians 12509 E Mission Ave Ste 102 Spokane Valley WA 99216-1049 Ph: (509) 938-7100 |
| NPI Number | 1194038455 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 07/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194038455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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