| NPI | 1477004109 |
|---|---|
| Doing Business As | COLON AND RECTAL CLINIC - WASHINGTON REGIONAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRADLEY CEO 479-463-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |