| NPI | 1225163926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD WAYNE FLECK President 509-240-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA 252090019815) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2025-05-01 |