Organization
ALLIANCE PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY ELLEFSEN DO (PHYSICIAN/OWNER)
(509) 724-0198
Entity
Organization
Contact information
Practice address
203 E DALKE AVE STE B, SPOKANE, WA 99208-8112
(509) 724-0198
Mailing address
203 E DALKE AVE STE B, SPOKANE, WA 99208-8112
(509) 724-0198
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OP00002282
WA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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