| NPI | 1437296910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA S SMITH Office Manager 509-663-8767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2015-06-04 |