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Organization

STERLING EMERGENCY SERVICES OF WASHINGTON INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT J BUNKER (CHAIRMAN/PRESIDENT/CEO)
(904) 805-1300
Entity
Organization

Contact information

Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 924-6650
Mailing address
PO BOX 758701, BALTIMORE, MD 21275-0001
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0195459
WORK COMP
WA
01
610063300
DEPT OF LABOR
WA
05
7127244
WA
01
8940795
CRIME VICTIMS COMP
WA
01
DD1284
RAIL ROAD MEDICARE
WA
Enumeration date
05/04/2006
Last updated
07/23/2008
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