| NPI | 1750380812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L JOHNSON Business Office Mngr 509-462-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA 601859779) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-11-12 |