Organization
SPOKANE CARDIOLOGY PS
Active
Other names
Kootenai Heart and Vascular Health
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WICKS (COO)
(509) 455-8820
Entity
Organization
Contact information
Practice address
910 W 5TH AVE, 300, SPOKANE, WA 99204-2966
(509) 455-8820
(509) 838-4978
Mailing address
910 W 5TH AVE, 300, SPOKANE, WA 99204-2966
(509) 455-8820
(509) 838-4978
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11246
L & I
WA
05
—
7826803
—
WA
Enumeration date
06/01/2006
Last updated
11/30/2007
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