| NPI | 1942695580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | S. DANIEL SELTZER Medical Director 509-966-9592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: WA 601482344) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |