| NPI | 1588719561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE L MILLER Office Manager 509-838-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA FX00055904) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA BS5586752) |
| 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA FX00056575) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2013-06-04 |