| NPI | 1912015439 | 
|---|---|
| Former Legal Business Name | SPOKANE UROLOGY, PS | 
| Entity Type | Organization | 
| Authorized Contact | RAYMOND LANCE President 509-747-3147 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208800000X Urology | 
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology | 
| 332900000X Non-Pharmacy Dispensing Site | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-08-25 | 
| Last Update Date | 2024-10-29 |