Provider First Line Business Practice Location Address:
611 E 2ND AVE
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
SPOKANE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99202-6010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-534-5000
Provider Business Practice Location Address Fax Number:
509-534-0288
Provider Enumeration Date:
02/16/2015