| NPI | 1710094818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA COLEEN FLESHER Business Administrator 509-735-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 601426358) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2013-02-01 |