| NPI | 1710952882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL K SEARS Medical Director 509-456-7414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601724644) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2018-04-26 |