| NPI | 1467664821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANTHONY ADAMS Owner 509-838-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2020-08-22 |