| NPI | 1982807731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEA DEHN Office Manager 509-455-6736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 183500000X Pharmacist |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2008-02-12 |