Provider First Line Business Practice Location Address:
105 W 8TH AVE STE 1000
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99204-2327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-474-4500
Provider Business Practice Location Address Fax Number:
509-227-7070
Provider Enumeration Date:
05/29/2007