| NPI | 1114965704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NEITZEL Administrator 509-586-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2024-02-27 |