| NPI | 1871929646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SCOTT MICHELS President/Owner 509-279-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-30 |