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Organization
SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Active
Organization
SPOKANE DIGESTIVE DISEASE CENTER, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAYLE L MILLER (OFFICE MANAGER)
(509) 838-5950
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, SUITE 6010, SPOKANE, WA 99204-2341
(509) 838-5950
(509) 838-5961
Mailing address
105 W 8TH AVE, SUITE 6010, SPOKANE, WA 99204-2302
(509) 838-5950
(509) 838-5961
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
BS5586752
WA
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FX00055904
WA
261QA1903X
Ambulatory Surgical Clinic/Center
FX00056575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7056872
—
WA
05
—
7122708
—
WA
Enumeration date
01/23/2007
Last updated
06/04/2013
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