| NPI | 1902025331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA MEYERS Billing Manager 509-469-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA md00031317) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2008-01-08 |