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Organization
INLAND NORTHWEST SURGERY CENTER PLLC
Active
Organization
INLAND NORTHWEST SURGERY CENTER PLLC
Active
Other names
Family Foot Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRENA LUNDSTROM (MANAGER)
(509) 924-2600
Entity
Organization
Contact information
Practice address
229 S 7TH ST, ST MARIES, ID 83861-1803
(509) 924-2600
Mailing address
526 N MULLAN RD, SPOKANE VALLEY, WA 99206-2408
(509) 924-2600
(509) 926-9865
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-224
ID
261QA1903X
Ambulatory Surgical Clinic/Center
6011706837
WA
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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