| NPI | 1225575996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES ROACH Office Manager/Medical Biller 509-823-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WA AP60306426) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |