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1487821096
PROVIDENCE PHYSICIAN SERVICES CO
SPOKANE, WA
NPI
1487821096
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Entity Type
Organization
Authorized Contact
SEAN M DOUGLAS
CFO
509-474-2225
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WA 600503827)
Enumeration Date
2008-05-13
Last Update Date
2011-02-28
Business Address
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE MOTHER GAMELIN CENTER, 3RD FLOOR
SPOKANE, WA 99204-2307
Phone number: 509-489-5019
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Mailing Address
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE MOTHER GAMELIN CENTER, 3RD FLOOR
SPOKANE, WA 99204-2307
Phone number:
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