Organization
PHYSICIANS CLINIC OF SPOKANE
Active
Other names
PCOS Independent X-Ray
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY B COLLINS MD (CEO)
(509) 353-3973
Entity
Organization
Contact information
Practice address
820 S MCCLELLAN ST, #LL10, SPOKANE, WA 99204-2457
(509) 353-3979
(809) 838-8275
Mailing address
820 S MCCLELLAN ST, #LL10, SPOKANE, WA 99204-2457
(509) 353-3979
(809) 838-8275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
L0520049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7127418
—
WA
Enumeration date
07/20/2006
Last updated
08/22/2020
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