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Organization

NORTHWEST SPOKANE PEDIATRICS, PLLC

Active
Other names
NORTHWEST SPOKANE PEDIATRICS, JOSEPH B MCMANUS MD
Organization subpart
No

Provider details

NPI number
Authorized official
LEVI JORDAN RN (ADMINISTRATOR)
(509) 866-4646
Entity
Organization

Contact information

Practice address
220 E ROWAN AVE STE 150, SPOKANE, WA 99207-2244
(509) 483-4060
(509) 483-0043
Mailing address
220 E ROWAN AVE STE 150, SPOKANE, WA 99207-2244
(509) 483-4060
(509) 483-0043

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
602279511
WA
363LP0200X
Pediatric Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1302215
WA
Enumeration date
04/12/2007
Last updated
09/11/2019
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