| NPI | 1992184972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL WILLIAMS Owner/Physician 509-332-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60041849) |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2015-05-24 |