PROVIDENCE PHYSICIAN SERVICES CO is an obstetrics gynecology in Chewelah, WA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. PROVIDENCE PHYSICIAN SERVICES CO NPI is 1245557917. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pps Chewelah Ob/gyn.
The provider's business location address is:
518 CLAY STREET
CHEWELAH, WA
ZIP 99109
Phone: (509) 684-3701
The provider's authorized official is Anselmo Nunez .
The authorized official title is Chief Executive and has the following contact phone number (509) 474-6616.
The CLIA number assigned to this NPI record is 50D1001194 - other - clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/21/2010 and was last updated on 2/28/2011.