Organization
SPOKANE RESOURCE GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY BRUNER ED.D (BUSINESS MANAGER)
(509) 262-6406
Entity
Organization
Contact information
Practice address
1817 E SPRINGFIELD AVE, SUITE E., SPOKANE, WA 99202-2913
(509) 262-6406
(509) 262-6406
Mailing address
1817 E SPRINGFIELD AVE, SUITE E., SPOKANE, WA 99202-2913
(509) 262-6406
(509) 262-6406
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PY60115733
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60211296
WA
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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