Organization
PHYSICIANS CLINIC OF SPOKANE PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIK ROWBOTHAM MD (CEO)
(509) 747-1144
Entity
Organization
Contact information
Practice address
820 S MCCLELLAN, #LL10, SPOKANE, WA 99204
(509) 353-3973
(509) 838-8275
Mailing address
820 S MCCLELLAN, #LL10, SPOKANE, WA 99204
(509) 353-3973
(509) 838-8275
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
L0620049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00606
L & I
WA
05
—
7202609
—
WA
Enumeration date
06/01/2006
Last updated
06/01/2011
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