| NPI | 1821186511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EARL Md 509-765-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: WA MD00028611) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2018-01-08 |