Provider First Line Business Practice Location Address:
801 W. 5TH AVENUE
Provider Second Line Business Practice Location Address:
SUITE 525
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99203-2842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-747-7900
Provider Business Practice Location Address Fax Number:
509-624-3666
Provider Enumeration Date:
11/30/2007