| NPI | 1043549496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURENDER K WADHWA Owner 509-943-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD00016812) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2010-09-09 |