| NPI | 1780714139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CONNER Revenue Cycle Manager 509-321-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: WA 00027337) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: WA 00032173) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2024-07-15 |