| NPI | 1194038455 |
|---|---|
| Doing Business As | PROVIDENCE VALLEY FAMILY PHYSICIANS |
| Entity Type | Organization |
| Authorized Contact | KEVIN WALSTROM CFO 509-482-2367 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |