| NPI | 1528126927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET STAMPER Creditialing Rep 509-353-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA 1000000) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-10-04 |