Healthcare Provider Details

I. General information

NPI: 1235147117
Provider Name (Legal Business Name): SPOKANE EMERGENCY PHYSICIANS, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/01/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W. 8TH AVENUE
SPOKANE WA
99204-2307
US

IV. Provider business mailing address

P.O. BOX 24783
SEATTLE WA
98124-0783
US

V. Phone/Fax

Practice location:
  • Phone: 509-474-3131
  • Fax:
Mailing address:
  • Phone: 800-962-3303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RYAN M PURSLEY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 509-474-5012