Organization
PSYCHIATRIC CLINIC OF SPOKANE PS
Active
Other names
David Bot, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID D BOT MD (PRESIDENT)
(509) 999-5430
Entity
Organization
Contact information
Practice address
201 W NORTH RIVER DR, STE 520, SPOKANE, WA 99201-2284
(509) 999-5430
Mailing address
201 W NORTH RIVER DR, SUITE 520, SPOKANE, WA 99201-2284
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1077775
—
WA
01
—
G000304612
MEDICARE PTAN
WA
Enumeration date
09/21/2015
Last updated
09/21/2015
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