NPI | 1982236469 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI WALTERS Credentialing Coordinator 509-363-7313 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2020-02-12 |
Last Update Date | 2021-02-24 |