Organization
PALOUSE SPECIALTY PHYSICIANS, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW FORGE (CEO)
(509) 332-2541
Entity
Organization
Contact information
Practice address
825 SE BISHOP BLVD, SUITE 501, PULLMAN, WA 99163-5517
(509) 332-6139
(509) 332-6579
Mailing address
PO BOX 847, PULLMAN, WA 99163-0847
(509) 332-6139
(509) 332-6579
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
09/04/2024
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