| Indian Trail Geriatric Medicine | |
|
422 W Riverside Ave Ste 1100 Spokane WA 99201-0302 | |
| (509) 464-1600 | |
| (509) 343-9391 |
| Full Name | Indian Trail Geriatric Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 422 W Riverside Ave Ste 1100, Spokane, Washington |
| Authorized Official Name and Position | Eric A Sohn (OWNER) |
| Authorized Official Contact | 5098697533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Trail Geriatric Medicine 1818 W Francis Ave # 385 Spokane WA 99205-6834 Ph: (509) 464-1600 | Indian Trail Geriatric Medicine 422 W Riverside Ave Ste 1100 Spokane WA 99201-0302 Ph: (509) 464-1600 |
| NPI Number | 1689674244 |
|---|---|
| Provider Enumeration Date | 07/26/2005 |
| Last Update Date | 10/20/2023 |
| Medicare PECOS PAC ID | 8022000330 |
|---|---|
| Medicare Enrollment ID | O20040330000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689674244 | NPI | - | NPPES |
| MD37099 | Other | WA | WA LICENSE |
| MD7619 | Other | ID | IDAHO LICENSE |
| 1016357 | Medicaid | WA |
| Provider Name | Eric Allen Sohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144220609 PECOS PAC ID: 6002808326 Enrollment ID: I20040520001275 |
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