Organization
SURGICAL SPECIALISTS OF SPOKANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG HULT (ADMINISTRATOR)
(509) 747-6194
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, STE 7060, SPOKANE, WA 99204-2327
(509) 747-6194
(509) 838-0824
Mailing address
910 W 5TH AVE, STE 550, SPOKANE, WA 99204
(509) 252-2830
(509) 252-2841
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0189191
DEPT LABOR & INDUSTRIES
—
05
—
7125149
—
WA
01
—
DC4138
RAILROAD MEDICARE
—
Enumeration date
02/07/2006
Last updated
11/10/2010
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