NPI | 1184908410 |
---|---|
Doing Business As | ARBOR HEALTH MOSSYROCK CLINIC |
Entity Type | Organization |
Authorized Contact | RICHARD BOGGESS Administrator 360-496-3525 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-10-05 |
Last Update Date | 2019-02-11 |