| NPI | 1588408504 |
|---|---|
| Doing Business As | WASHINGTON MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JARED DEAN EVANS Dentist 509-389-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-06-24 |