Organization
COLUMBIA MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY STANFORD (PRESIDENT)
(509) 688-6700
Entity
Organization
Contact information
Practice address
1003 E TRENT, SUITE 150, SPOKANE, WA 99202
(509) 688-6700
(509) 688-6777
Mailing address
PO BOX 2808, SPOKANE, WA 99220-2808
(509) 688-6700
(509) 688-6777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
WA
207Q00000X
Family Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
10/02/2006
Last updated
07/27/2015
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