Organization
ROCKWOOD CLINIC PS
Active
Other names
Rockwood Clinic Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
J CARL BRUESCH (CFO)
(509) 838-2531
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, SUITE 7010, SPOKANE, WA 99204-2302
(509) 838-2531
(509) 455-5315
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7058753
—
WA
Enumeration date
09/20/2005
Last updated
12/01/2009
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