| NPI | 1780965186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MARSHALL MOMANY Owner 509-723-7999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD00027010) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2018-04-20 |