NPI | 1053527853 |
---|---|
Doing Business As | NORTH BASIN MEDICAL CLINICS |
Entity Type | Organization |
Authorized Contact | TYSON LACY CFO 509-725-2979 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208600000X Surgery |
Enumeration Date | 2007-05-16 |
Last Update Date | 2022-07-07 |