| NPI | 1891005179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP WILLIAM FALER President 509-474-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA NT00001500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007639) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |