| NPI | 1740453588 |
|---|---|
| Doing Business As | COUNTRY DOCTOR CLINIC |
| Entity Type | Organization |
| Authorized Contact | DALE E ALSAGER Owner/President 425-432-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP00001485) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2009-12-17 |