| NPI | 1295738185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZCEL G TUAZON Md Owner 509-374-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00040438) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2007-10-18 |