PROVIDENCE PHYSICIAN SERVICES CO

SPOKANE, WA
NPI1700103462
Doing Business AsPPS PSHMC DEVELOPMENTAL PEDIATRICS
Entity TypeOrganization
Authorized ContactANSELMO NUNEZ
Chief Executive
509-474-6616
Organization Subpart ?Yes
Primary Taxonomy2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
Enumeration Date2010-04-21
Last Update Date2011-02-28
Business Address
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE STE 4200
SPOKANE, WA 99204-2307
Phone number: 509-474-2730
Mailing Address
PROVIDENCE PHYSICIAN SERVICES CO
101 W 8TH AVE MOTHER GAMELIN CENTER, 3RD FLOOR
SPOKANE, WA 99204-2307
Phone number: 509-474-6616