Provider Demographics
NPI:1750495859
Name:VALLEY OBSTETRICS AND GYNECOLOGY PS
Entity Type:Organization
Organization Name:VALLEY OBSTETRICS AND GYNECOLOGY PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:F
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-924-1990
Mailing Address - Street 1:1415 N HOUK RD STE A
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1043
Mailing Address - Country:US
Mailing Address - Phone:509-924-1990
Mailing Address - Fax:509-232-3059
Practice Address - Street 1:1415 N HOUK RD STE A
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1043
Practice Address - Country:US
Practice Address - Phone:509-924-1990
Practice Address - Fax:509-232-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty