Provider First Line Business Practice Location Address:
310 N RIVERPOINT BLVD HEALTH SCIENCE BLDG #280-J
Provider Second Line Business Practice Location Address:
UNIVERSITY OF WASHINGTON MEDEX NW PA PROGRAM
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
507-368-6807
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/15/2005