| NPI | 1902939945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL M RODRIGUEZ Office Manager 509-542-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00024811) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-01-03 |