Organization
HART FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI WALLEN (BILLING/SUPPORT)
(509) 466-3960
Entity
Organization
Contact information
Practice address
107 E HOLLAND AVE, SPOKANE, WA 99218-1209
(509) 466-3960
(509) 466-9566
Mailing address
107 E HOLLAND AVE, SPOKANE, WA 99218-1209
(509) 466-3960
(509) 466-9566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001655
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0229080
WA DEPT OF LABOR
WA
05
—
1124858
—
WA
Enumeration date
07/07/2008
Last updated
07/12/2010
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