Provider First Line Business Practice Location Address:
422 W RIVERSIDE AVE STE 1100
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:
99201-0302
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-464-1600
Provider Business Practice Location Address Fax Number:
509-343-9391
Provider Enumeration Date:
07/26/2005