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Organization

PALOUSE PEDIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALVIN FROSTAD MD (OWNER/PHYSICIAN)
(509) 332-2605
Entity
Organization

Contact information

Practice address
1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754
Mailing address
1205 SE PROFESSIONAL MALL BLVD, SUITE 104, PULLMAN, WA 99163-5423
(509) 332-2605
(509) 334-5754

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
WA

Other

Enumeration date
11/22/2005
Last updated
08/22/2020
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