| NPI | 1629306592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDRICK JOSEPH BOWERS Physician 509-946-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery, Surgical Oncology |
| 208C00000X Colon & Rectal Surgery | |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2009-12-03 |