Organization
NORTHWEST NEUROLOGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R GREELEY MD (PHYSICIAN OWNER)
(509) 747-5615
Entity
Organization
Contact information
Practice address
1520 W 3RD AVE STE 101, SPOKANE, WA 99201-7040
(509) 747-5165
(509) 747-5133
Mailing address
1520 W 3RD AVE STE 101, SPOKANE, WA 99201-7040
(509) 747-5165
(509) 747-5133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117526
—
WA
Enumeration date
03/07/2007
Last updated
04/11/2024
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