| NPI | 1871794438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L LLOYD Accounts Manager 509-575-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD00044226) |
| Additional Taxonomies | 208600000X Surgery (Licence: WA MD00021997) |
| 208600000X Surgery (Licence: WA MD000039246) | |
| 208600000X Surgery (Licence: WA MD00034873) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |