| NPI | 1114966769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J GARDNER President 509-489-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2009-12-18 |