| |
2 E Valley Mall Blvd Union Gap WA 98903-1613 | |
(509) 452-1773 | |
(509) 452-1714 |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 2 E Valley Mall Blvd, Union Gap, Washington |
Authorized Official Name and Position | Terrence D. Truhler (PRESIDENT) |
Authorized Official Contact | 5094521773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
2 E Valley Mall Blvd Union Gap WA 98903-1613 Ph: (509) 452-1773 | 2 E Valley Mall Blvd Union Gap WA 98903-1613 Ph: (509) 452-1773 |
NPI Number | 1609937481 |
---|---|
Provider Enumeration Date | 12/13/2006 |
Last Update Date | 07/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609937481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |