NPI | 1356876502 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN JEFFERSON DAWSON Cmo 509-222-1275 |
Organization Subpart ? | No |
Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine (Licence: MD D0082182) |
207P00000X Emergency Medicine (Licence: MD D0082238) | |
Enumeration Date | 2017-04-25 |
Last Update Date | 2023-08-30 |