| NPI | 1073720538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA SHOBER-KLOTZ Credentialing Manager 509-688-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-09-06 |