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 |