Organization
INLAND EMPIRE LITHOTRIPSY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD JOHN GROSS CRLS (EXECUTIVE DIRECTOR)
(509) 747-3147
Entity
Organization
Contact information
Practice address
800 W 5TH AVE, SPOKANE, WA 99204-2803
(509) 747-3147
Mailing address
PO BOX 14011, SPOKANE VALLEY, WA 99214-0011
(509) 747-3147
Taxonomy
Speciality
Code
Description
License number
State
261QL0400X
Lithotripsy Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
08/22/2020
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