Organization
ROCKWOOD CLINIC, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. CARL BRUESCH JR. (CFO)
(509) 838-2531
Entity
Organization
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9020884
—
WA
Enumeration date
07/24/2007
Last updated
12/15/2008
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