| NPI | 1609018076 |
|---|---|
| Doing Business As | PACIFIC CREST FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JIM W SIMMONS Chief Financial Officer 509-248-7849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |