Organization
VIVIAN MOISE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN MARIE MOISE M.D. (OWNER)
(509) 747-5242
Entity
Organization
Contact information
Practice address
511 S PINE ST, SUITE D, SPOKANE, WA 99202-1347
(509) 747-5242
(509) 747-5430
Mailing address
511 S PINE ST, SUITE D, SPOKANE, WA 99202-1347
(509) 747-5242
(509) 747-5430
Taxonomy
Speciality
Code
Description
License number
State
2081P0004X
Spinal Cord Injury Medicine Physician
Primary
MD00023674
WA
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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