| NPI | 1356386148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY KENNETH GOULD Director 509-892-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WA MD00013411) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |