| NPI | 1912179599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE P SCHAUBLE Business Administrator 509-456-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: WA MD00023695) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2024-01-16 |