| 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 |