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Organization

GENESIS ADVANCED WOUND CARE PC

Active
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Organization

GENESIS ADVANCED WOUND CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA PIKE (ADMINISTRATOR)
(208) 739-9961
Entity
Organization

Contact information

Practice address
522 W RIVERSIDE AVE STE 8283, SPOKANE, WA 99201-0580
(208) 739-9961
Mailing address
522 W RIVERSIDE AVE STE 8283, SPOKANE, WA 99201-0580
(208) 739-9961

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
363LP2300X
Primary Care Nurse Practitioner
Primary

Other

Enumeration date
04/16/2025
Last updated
10/15/2025
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