Organization
WA-SPOK PULMONARY & CRITICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
910 W 5TH AVE, SUITE 500, SPOKANE, WA 99204-2967
(509) 625-1915
(509) 625-1919
Mailing address
910 W 5TH AVE, SUITE 500, SPOKANE, WA 99204-2967
(509) 625-1915
(509) 625-1919
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Enumeration date
09/23/2008
Last updated
08/12/2009
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