| NPI | 1790382224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W KRUEGER Owner 509-902-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2021-09-23 |