Organization
EXCELSIOR FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RICHARD HILL LMHC (CHIEF EXECUTIVE OFFICER)
(509) 559-3130
Entity
Organization
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4700
(509) 559-3100
(509) 588-7437
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4700
(509) 559-3100
(509) 588-7437
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/22/2019
Last updated
08/22/2024
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