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Organization

INLAND NORTHWEST SURGERY CENTER PLLC

Active
Other names
Family Foot Center
Organization subpart
No

Provider details

NPI number
Authorized official
TRENA LUNDSTROM (MANAGER)
(509) 924-2600
Entity
Organization

Contact information

Practice address
229 S 7TH ST, ST MARIES, ID 83861-1803
(509) 924-2600
Mailing address
526 N MULLAN RD, SPOKANE VALLEY, WA 99206-2408
(509) 924-2600
(509) 926-9865

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-224
ID
261QA1903X
Ambulatory Surgical Clinic/Center
6011706837
WA

Other

Enumeration date
06/15/2017
Last updated
06/15/2017
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