| NPI | 1588797807 |
|---|---|
| Other Name | SOUTH ASC |
| Entity Type | Organization |
| Authorized Contact | DOREENE A MOTT Office Manager 509-838-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA FX00055904) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |