| NPI | 1043776883 |
|---|---|
| Doing Business As | OMNI CLINIC |
| Entity Type | Organization |
| Authorized Contact | CORBIN MOBERG President 509-855-5497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |