| NPI | 1740301498 |
|---|---|
| Doing Business As | DBA GRAND PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH PAUL KINCAID Owner 509-455-8220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00029893) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |