| NPI | 1154414761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY STANFORD President 509-688-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-07-27 |