Provider First Line Business Practice Location Address:
225 W FRANCIS AVE
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99205-6304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-533-9200
Provider Business Practice Location Address Fax Number:
509-533-9300
Provider Enumeration Date:
07/01/2005