Provider First Line Business Practice Location Address:
140 S ARTHUR ST STE 610
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:
99202-2260
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-953-5696
Provider Business Practice Location Address Fax Number:
509-323-1607
Provider Enumeration Date:
03/18/2026