| NPI | 1144480666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE J FARR Office Manager 509-839-4555 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD0026187) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |