| Liberty Lake Direct Primary Care Pllc | |
|
2207 N Molter Rd Liberty Lake WA 99019-7570 | |
| (509) 348-2214 | |
| Not Available |
| Full Name | Liberty Lake Direct Primary Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2207 N Molter Rd, Liberty Lake, Washington |
| Authorized Official Name and Position | Jared W. Nelson (OWNER) |
| Authorized Official Contact | 5098285250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty Lake Direct Primary Care Pllc 704 N Madson Ct Liberty Lake WA 99019-7507 Ph: (509) 828-5250 | Liberty Lake Direct Primary Care Pllc 2207 N Molter Rd Liberty Lake WA 99019-7570 Ph: (509) 348-2214 |
| NPI Number | 1558048280 |
|---|---|
| Provider Enumeration Date | 07/04/2023 |
| Last Update Date | 07/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558048280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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