| NPI | 1386031219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA HOYT Business Office Manager 509-946-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00039823) |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |