| NPI | 1114065844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT MATTHEW SMITH Owner 509-585-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00018280) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2014-03-17 |