Organization
COMMUNITY HEALTHCARE OF THE PALOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEAL SPADY MD (GENERAL PARTNER)
(208) 892-1346
Entity
Organization
Contact information
Practice address
619 S WASHINGTON ST, STE 203, MOSCOW, ID 83843-3090
(208) 892-1346
(208) 892-8306
Mailing address
PO BOX 3509, COEUR D ALENE, ID 83816-2517
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1061589
—
WA
Enumeration date
07/25/2006
Last updated
10/10/2007
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