| NPI | 1073624334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA PHILLIPS Office Manager 509-837-7722 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 18116) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-10-25 |