| NPI | 1053618892 |
|---|---|
| Doing Business As | PROVIDENCE PULMONARY ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2011-02-18 |