| NPI | 1235373879 |
|---|---|
| Other Name | PROVIDENCE SMMC NEPHROLOGY DME |
| Entity Type | Organization |
| Authorized Contact | SUSAN A COLUMBER Rcm Director 509-522-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA HAC.FS.00000050) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |