NPI | 1215109368 |
---|---|
Doing Business As | PACIFIC CREST FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | CAROLINE GEORGE Director Of Finance 509-248-7849 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 601883477) |
Enumeration Date | 2008-03-28 |
Last Update Date | 2008-06-20 |