Organization
PHYSICIANS ANESTHESIA GROUP, PS
Active
Parent organization
PHYSIAINS ANESTHESIA GROUP, PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSIAINS ANESTHESIA GROUP, PS
Authorized official
DR. REX PORTER M.D. (DELEGATE)
(509) 838-8561
Entity
Organization
Contact information
Practice address
104 W 5TH AVE STE 230E, SPOKANE, WA 99204-4808
(509) 838-8561
(509) 835-4058
Mailing address
104 W 5TH AVE STE 230E, SPOKANE, WA 99204-4808
(509) 838-8561
(509) 835-4058
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7847700
—
WA
Enumeration date
03/19/2008
Last updated
03/19/2008
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