Organization
LIBERTY LAKE DIRECT PRIMARY CARE PLLC
Active
Other names
Liberty Lake DPC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED W. NELSON M.D. (OWNER)
(509) 828-5250
Entity
Organization
Contact information
Practice address
2207 N MOLTER RD, LIBERTY LAKE, WA 99019-7570
(509) 348-2214
Mailing address
704 N MADSON CT, LIBERTY LAKE, WA 99019-7507
(509) 828-5250
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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