PROVIDENCE HEALTH & SERVICES-WA

SPOKANE, WA
NPI1538311287
Doing Business AsNW HEART & LUNG SURGICAL ASSOC
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Asst Sec Enrollmt/Dir Reimb Reg
425-525-5392
Organization Subpart ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: WA  600503828)
Enumeration Date2008-10-14
Last Update Date2019-09-05
Business Address
PROVIDENCE HEALTH & SERVICES-WA
62 W 7TH AVE STE 110
SPOKANE, WA 99204-2321
Phone number: 509-456-0262
Mailing Address
PROVIDENCE HEALTH & SERVICES-WA
PO BOX 312
LIBERTY LAKE, WA 99019-3012
Phone number: 509-456-0262