Provider First Line Business Practice Location Address:
310 N RIVERPOINT BLVD
Provider Second Line Business Practice Location Address:
HEALTH SCIENCES BUILDING 210E
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-358-7634
Provider Business Practice Location Address Fax Number:
509-358-7744
Provider Enumeration Date:
08/16/2013