NPI | 1700103462 |
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Doing Business As | PPS PSHMC DEVELOPMENTAL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
Enumeration Date | 2010-04-21 |
Last Update Date | 2011-02-28 |