Organization
ADVANCED SURGICAL ORTHOPEDICS, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEX VERHOOGEN MD (DELEGATED OFFICIAL)
(509) 456-8550
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, SUITE 454E, SPOKANE, WA 99204-2302
(509) 456-8550
(509) 838-6562
Mailing address
PO BOX 405, SPOKANE, WA 99210-0405
(509) 456-8550
(509) 838-6562
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC7326
RR MEDICARE
WA
Enumeration date
08/31/2005
Last updated
10/06/2008
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