| NPI | 1629390059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN M PIERSON Billing Rep 509-972-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00043447) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-05-21 |