| NPI | 1811134992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT K CORBETT Owner 509-466-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00034041) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2013-07-11 |