Liberty Lake Family & Sports Medicine, P.s.

NPI 1043407935 - Family Medicine - 207QS0010X

NPI Details
NPI 1043407935
Enumeration Date 09/25/2007
Last Updated 10/04/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIMOTHY TIMOTHY
Position OWNER
Phone (509) 921-7755
Fax
Practice Location
2207 N MOLTER RD
STE 101
LIBERTY LAKE WA, 99019-7571, US
Phone (509) 921-7755
Fax
Business Location
2207 N MOLTER RD
STE 101
LIBERTY LAKE WA, 99019-7571, US
Phone
Fax
Toxanomy
Taxonomy Code 207QS0010X
License State Washington
License Number 601991291
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According to our database, Liberty Lake Family & Sports Medicine, P.s. NPI is 1043407935, taxonomy code is 207QS0010X and license number is 601991291, license state is located at Washington. Liberty Lake Family & Sports Medicine, P.s. physically located at 2207 N Molter Rd, Liberty Lake WA, 99019-7571. NPI Number 1033115704 has the healthcare provider type.

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1043407935 NPI number is provided on an as is basis without warranty of any kind. 1043407935 is maintained by the National Plan & Provider Enumeration System. The contents of Liberty Lake Family & Sports Medicine, P.s. are for informational purposes only.