| NPI | 1982905923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON RANDALL FARRAR Owner 509-585-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: WA MD00031441) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2010-11-08 |