| NPI | 1114196391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA L ATWOOD Owner/Operator 509-946-0802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 602397859) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2014-11-14 |