Provider First Line Business Practice Location Address:
322 W NORTH RIVER DR
Provider Second Line Business Practice Location Address:
RIVERFRONT MED CNTR
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99201-3208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-241-2575
Provider Business Practice Location Address Fax Number:
509-241-2312
Provider Enumeration Date:
08/25/2008