NPI | 1881650497 |
---|---|
Doing Business As | WASHINGTON REGIONAL SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | MARY JO ROTHROCK Director Clinic Administration 479-463-1390 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-04-22 |
Last Update Date | 2020-08-22 |