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Organization
NORTHWEST SPORTS AND SPINE
Active
Organization
NORTHWEST SPORTS AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BLISS M.D. (OWNER)
(509) 624-9112
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, SUITE 200, SPOKANE, WA 99204-2302
(509) 624-9112
(509) 624-1087
Mailing address
105 W 8TH AVE, SUITE 200, SPOKANE, WA 99204-2302
(509) 624-9112
(509) 624-1087
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD00042250
WA
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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