| NPI | 1669799391 |
|---|---|
| Doing Business As | PPS PROVIDENCE EPILEPSY CENTER |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2011-02-28 |