| NPI | 1336179233 |
|---|---|
| Former Legal Business Name | EYE SURGERY CENTER NORTHWEST |
| Entity Type | Organization |
| Authorized Contact | J. CRAIG WHITING CEO 509-838-2531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601048563) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602444435) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-07-18 |