| NPI | 1124136692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN D GREEN Office Manager 509-465-3919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA md00027318) |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2009-01-12 |