| NPI | 1760641021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GREGORY JONES Medical Director 509-473-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: WA 20992) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-11-19 |