Provider First Line Business Practice Location Address:
520 E NORTH FOOTHILLS DR STE 400
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:
99207-2158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-489-1000
Provider Business Practice Location Address Fax Number:
509-482-4270
Provider Enumeration Date:
07/15/2006