| NPI | 1720306426 |
|---|---|
| Doing Business As | PROVIDENCE PEDIATRIC ONCOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ANSELMO NUNEZ Chief Executive 509-474-6616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2011-02-28 |