| NPI | 1003143652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES FORSYTHE Owner 509-460-1065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2025-11-21 |