NPI | 1396503058 |
---|---|
Other Name | SPOKANE PEDIATRICS |
Entity Type | Organization |
Authorized Contact | NATHAN HALVORSON Corporate Compliance Officer 509-444-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2024-03-07 |
Last Update Date | 2024-03-07 |