# SPOKANE DIGESTIVE DISEASE CENTER, P.S.

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

## Provider details

- **NPI number:** 1588719561
- **Authorized official:** MS. GAYLE L MILLER (OFFICE MANAGER)
- **Authorized official phone:** (509) 838-5950

## Contact information

- **Practice address:** 105 W 8TH AVE, SUITE 6010, SPOKANE, WA 99204-2341
- **Practice address phone:** (509) 838-5950
- **Practice address fax:** (509) 838-5961
- **Mailing address:** 105 W 8TH AVE, SUITE 6010, SPOKANE, WA 99204-2302
- **Mailing address phone:** (509) 838-5950
- **Mailing address fax:** (509) 838-5961

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | BS5586752 | WA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | FX00055904 | WA | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | FX00056575 | WA | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 06/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7056872 | — | WA |
| 05 | — | 7122708 | — | WA |