NPI | 1124159900 |
---|---|
Doing Business As | FAMILY MEDICINE NEWPORT |
Entity Type | Organization |
Authorized Contact | TOM WILBUR CEO 509-447-2441 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: WA 264000780-001-0002) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2008-06-25 |