| NPI | 1033597737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON DAVID WRIGHT Medical Director 509-792-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2019-03-20 |