| NPI | 1629110564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI BAZE Practice Administrator 509-737-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: WA 092346) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2015-02-10 |