Organization
WA-SPOK MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
801 W FIFTH AVE, SUITE 422, SPOKANE, WA 99204-2841
(509) 473-7250
(509) 473-3033
Mailing address
801 W FIFTH AVE, SUITE 422, SPOKANE, WA 99204-2841
(509) 473-7250
(509) 473-3033
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0242178
DEPT L&I
WA
05
—
7144553
—
WA
Enumeration date
09/23/2008
Last updated
02/01/2012
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