Organization
PROVIDENCE HEALTH & SERVICES WASHINGTON
Active
Other names
PROVIDENCE SURGERY AND PROCEDURE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD W ANDERSON JR. (ASSISTANT SECRETARY OF ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
16528 DESMET CT, SPOKANE VALLEY, WA 99216-3522
(509) 474-2072
Mailing address
101 W 8TH AVE, MOTHER GAMELIN CENTER 3RD FLOOR, SPOKANE, WA 99204-2307
(509) 474-2072
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
05/05/2025
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