Organization
MADSEN FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MADSEN (CREDENTIALING COORDINATOR)
(509) 290-6557
Entity
Organization
Contact information
Practice address
9708 N NEVADA ST STE 203, SPOKANE, WA 99218-6004
(509) 863-9240
(509) 574-5863
Mailing address
9708 N NEVADA ST STE 203, SPOKANE, WA 99218-6004
(509) 863-9240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001511
WA
Other
Enumeration date
09/11/2009
Last updated
08/03/2021
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