| NPI | 1649597303 |
|---|---|
| Doing Business As | PPS PSHMC ADOLESCENT MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2011-02-18 |