# VIVIAN MOISE MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326241043
- **Authorized official:** VIVIAN MARIE MOISE M.D. (OWNER)
- **Authorized official phone:** (509) 747-5242

## Contact information

- **Practice address:** 511 S PINE ST, SUITE D, SPOKANE, WA 99202-1347
- **Practice address phone:** (509) 747-5242
- **Practice address fax:** (509) 747-5430
- **Mailing address:** 511 S PINE ST, SUITE D, SPOKANE, WA 99202-1347
- **Mailing address phone:** (509) 747-5242
- **Mailing address fax:** (509) 747-5430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0004X | Spinal Cord Injury Medicine Physician | MD00023674 | WA | Yes |

## Other

- **Enumeration date:** 06/08/2007
- **Last updated:** 08/22/2020