| Ppgwni | |
|
3901 W Court Pasco WA 99301-2776 | |
| (866) 904-7721 | |
| (509) 545-8932 |
| Full Name | Ppgwni |
|---|---|
| Speciality | Family Medicine |
| Location | 3901 W Court, Pasco, Washington |
| Authorized Official Name and Position | Kim Nelson (FINANCE DIRECTOR) |
| Authorized Official Contact | 8669047721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppgwni 3901 W Court St Pasco WA 99301-2776 Ph: (866) 904-7721 | Ppgwni 3901 W Court Pasco WA 99301-2776 Ph: (866) 904-7721 |
| NPI Number | 1023325115 |
|---|---|
| Provider Enumeration Date | 09/10/2010 |
| Last Update Date | 04/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023325115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Secondary |
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