Organization
INLAND EMPIRE GASTROENTEROLOGY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE L JOHNSON (BUSINESS OFFICE MNGR)
(509) 462-1525
Entity
Organization
Contact information
Practice address
105 W 8TH AVE, STE 6050, SPOKANE, WA 99204-2302
(509) 747-0143
(509) 744-1571
Mailing address
105 W 8TH AVE, STE 6050, SPOKANE, WA 99204-2302
(509) 747-0143
(509) 744-1571
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
601859779
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7089501
—
WA
Enumeration date
07/20/2005
Last updated
11/12/2010
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