Provider First Line Business Practice Location Address:
400 EAST 5TH AVE #3W
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:
99202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-724-4300
Provider Business Practice Location Address Fax Number:
509-724-4311
Provider Enumeration Date:
01/04/2023