# SPOKANE UROLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPOKANE UROLOGY, PLLC
- **Other names:** Urology Surgery Center Northwest
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457087926
- **Legal business name:** SPOKANE UROLOGY, PLLC
- **Authorized official:** REXFORD HACKNEY RN (ADMINISTRATOR)
- **Authorized official phone:** (509) 245-6858

## Contact information

- **Practice address:** 1401 E TRENT AVE \# 100, SPOKANE, WA 99202-2902
- **Practice address phone:** (505) 747-3147
- **Mailing address:** 1401 E TRENT AVE \# 100, SPOKANE, WA 99202-2902
- **Mailing address phone:** (509) 747-3147

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/27/2022
- **Last updated:** 04/22/2024