Provider First Line Business Practice Location Address:
101 W 2ND AVE
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:
99201-3655
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:
509-835-1210
Provider Enumeration Date:
09/28/2012