Provider First Line Business Practice Location Address: 
800 W 5TH 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: 
99204-2803
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
509-458-5800
    Provider Business Practice Location Address Fax Number: 
    Provider Enumeration Date: 
03/30/2018