| NPI | 1215020144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R MERRELL Partner 509-460-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery Hand Surgery (Licence: WA OP60232831) |
| 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: WA OP60220440) | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: WA MD60261135) | |
| 208100000X Physical Medicine & Rehabilitation | |
| 225100000X Physical Therapist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2022-05-03 |