NPI | 1639441165 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC E HAEGER Owner 509-449-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
207QA0401X Family Medicine, Addiction Medicine | |
207QS1201X Family Medicine, Sleep Medicine | |
Enumeration Date | 2012-01-30 |
Last Update Date | 2020-02-05 |