Organization
PLASTIC SURGICENTRE, INC
Active
Other names
The Plastic SurgiCentre, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA CONNER (REVENUE CYCLE MANAGER)
(509) 321-4110
Entity
Organization
Contact information
Practice address
535 S PINE ST, SPOKANE, WA 99202-1347
(509) 623-2160
(509) 623-1135
Mailing address
535 PINE ST S, SPOKANE, WA 99202-1347
(509) 623-2160
(509) 623-1135
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
L0712575
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7059363
—
WA
Enumeration date
11/27/2006
Last updated
07/15/2024
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