| NPI | 1184708471 |
|---|---|
| Doing Business As | LOURDES RIVERVIEW MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN SERLE President & CEO 509-543-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 113003371) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: WA 113003371) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: WA 113003371) | |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-04-17 |