Provider First Line Business Practice Location Address:
1313 N ATLANTIC ST STE 1500
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:
99201-2338
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-444-8200
Provider Business Practice Location Address Fax Number:
509-434-0392
Provider Enumeration Date:
12/17/2018