| NPI | 1932393071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LYNN PUGH Owner 509-928-3221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 602721755) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2008-10-06 |