Organization
PHYSICIANS CLINIC OF SPOKANE
Active
Other names
PCOS Independent Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B. COLLINS MD (CEO)
(509) 353-3973
Entity
Organization
Contact information
Practice address
820 S. MCCLELLAN #LL10, SPOKANE, WA 99204
(509) 353-3973
(509) 838-8275
Mailing address
820 S. MCCLELLAN #LL10, SPOKANE, WA 99204
(509) 353-3973
(509) 838-8275
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
L0620049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137415
L&I
WA
05
—
7102148
—
WA
Enumeration date
08/10/2006
Last updated
08/22/2020
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