Organization
INFECTIOUS DISEASE CLINIC OF SPOKANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN GOTT (ACCOUNT MANAGER)
(509) 926-1770
Entity
Organization
Contact information
Practice address
104 W 5TH AVE, #200 WEST, SPOKANE, WA 99204-4880
(509) 353-3960
(509) 343-0134
Mailing address
21980 E COUNTRY VISTA DR, STE 200, LIBERTY LAKE, WA 99019-6025
(509) 926-1770
(509) 228-9542
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/08/2006
Last updated
06/26/2014
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