MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.

KENNEWICK, WA
NPI1386819704
Entity TypeOrganization
Authorized ContactRANDALL SCOTT FONG
Owner
509-585-0795
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: WA  MD00032458)
Additional Taxonomies231H00000X Audiologist
(Licence: WA  LD0002175)
Enumeration Date2008-04-26
Last Update Date2008-05-10
Business Address
MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.
3903 S IRBY ST
KENNEWICK, WA 99337-2451
Phone number: 509-585-0795
Mailing Address
MID-COLUMBIA EAR, NOSE & THROAT, P.L.L.C.
3903 S IRBY ST
KENNEWICK, WA 99337-2451
Phone number: 509-585-0795
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