| NPI | 1578865887 |
|---|---|
| Doing Business As | PROVIDENCE CENTER FOR CONGENITAL HEART DISEASE |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2011-02-18 |