PROVIDENCE PHYSICIAN SERVICES CO.

SPOKANE, WA
NPI1831146968
Doing Business AsPMG E WA
Entity TypeOrganization
Authorized ContactDAN HARRIS
CFO
206-628-2550
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
2080P0205X Pediatrics, Pediatric Endocrinology
2086S0120X Surgery, Pediatric Surgery
2080P0206X Pediatrics, Pediatric Gastroenterology
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
208600000X Surgery
207RP1001X Internal Medicine, Pulmonary Disease
208000000X Pediatrics
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
2084N0400X Psychiatry & Neurology, Neurology
103T00000X Psychologist
2084P0800X Psychiatry & Neurology, Psychiatry
207RN0300X Internal Medicine, Nephrology
2086S0122X Surgery, Plastic and Reconstructive Surgery
Enumeration Date2006-05-26
Last Update Date2014-10-23
Business Address
PROVIDENCE PHYSICIAN SERVICES CO.
101 W 8TH AVE MOTHER GAMELIN CENTER 3RD FLR
SPOKANE, WA 99204-2307
Phone number: 509-474-2072
Mailing Address
PROVIDENCE PHYSICIAN SERVICES CO.
PO BOX 462
LIBERTY LAKE, WA 99019-0462
Phone number: 509-474-2072