NPI | 1629265798 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC E. HAEGER CEO 509-449-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
207QS1201X Family Medicine, Sleep Medicine | |
261QX0100X Clinic/Center, Occupational Medicine | |
Enumeration Date | 2007-10-02 |
Last Update Date | 2021-11-29 |