Organization
PLASTIC SURGERY NORTHWEST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA CONNER (REVENUE CYCLE MANAGER)
(509) 321-4110
Entity
Organization
Contact information
Practice address
530 S COWLEY ST, STE 100, SPOKANE, WA 99202-1316
(509) 838-7028
(509) 623-2177
Mailing address
530 S COWLEY ST, STE 100, SPOKANE, WA 99202-1316
(509) 838-7028
(509) 623-2177
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
00027337
WA
208200000X
Plastic Surgery Physician
00032173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139520
—
WA
Enumeration date
03/06/2007
Last updated
07/15/2024
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