| NPI | 1881786069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DEAN MARTZ Auth Official 509-624-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2015-03-10 |