| NPI | 1720572928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S. WILKINSON Medical Director 509-895-7931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2018-06-20 |