| NPI | 1174512909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R QUINN Medical Doctor 509-467-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA MA00004754) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2007-10-31 |