| 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 |