| NPI | 1225763949 |
|---|---|
| Doing Business As | PMG SW WA |
| Other Name | CENTRALIA INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enroll Dir Reim Strat 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2022-07-28 |