| NPI | 1558685925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC E HAEGER Owner 509-449-0619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2021-11-29 |