| NPI | 1831387489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE VIOLETTE Clinic Manager 509-965-1714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2019-05-02 |