| NPI | 1902859598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WANDSCHNEIDER President 509-928-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 601 358 148) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |