NPI | 1922383207 |
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Doing Business As | B. MICHAEL SOUTHAM, O.D., PC/FAMILY VISION CARE OF CENTRAL WASHINGTON |
Entity Type | Organization |
Authorized Contact | BRANT MICHAEL SOUTHAM Optometrist/Owner 509-633-0340 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WA 60235215) |
Enumeration Date | 2011-10-18 |
Last Update Date | 2012-08-06 |