Provider Demographics
NPI:1114566031
Name:VALLEY NEUROLOGY PLLC
Entity type:Organization
Organization Name:VALLEY NEUROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:W
Authorized Official - Last Name:STEEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-676-3876
Mailing Address - Street 1:11917 E BROADWAY AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-6011
Mailing Address - Country:US
Mailing Address - Phone:509-676-3876
Mailing Address - Fax:855-888-7106
Practice Address - Street 1:11917 E BROADWAY AVE STE 201
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6011
Practice Address - Country:US
Practice Address - Phone:509-676-3876
Practice Address - Fax:855-888-7106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-23
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty