| NPI | 1275057655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER K JENKINS Physician/Owner 509-876-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-12-26 |