| NPI | 1104088822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MEYERS Billing Manager 509-469-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: WA MD00033867) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |