NPI | 1851130900 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ARANGO Medical Director 509-824-6287 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2024-05-20 |
Last Update Date | 2024-05-22 |