| NPI | 1740461805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J DOUGLAS President 509-838-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: WA 312) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2012-03-28 |