| NPI | 1952525636 |
|---|---|
| Former Legal Business Name | JOSEPH B MCMANUS MD |
| Doing Business As | NORTHWEST SPOKANE PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | LEVI JORDAN Administrator 509-866-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care (Licence: WA 602279511) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2019-09-11 |