| NPI | 1124887757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN B SMITH Practice Partner 509-319-6383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |