| NPI | 1407893845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P WOOLEVER Owner/Provider 509-529-1284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00035399) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-16 |