| NPI | 1114240918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R SHAUL President 509-966-0292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA MD00011637) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2013-01-31 |