| NPI | 1326282963 |
|---|---|
| Other Name | PROVIDENCE SMMC MULTI-SPECIALTY DME |
| Entity Type | Organization |
| Authorized Contact | SUSAN A COLUMBER Rcm Director 509-522-5906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA HAC.FS00000050) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: WA HAC.FS.00000050) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |