David C Wynecoop Memorial Clinic
NPI #1003963000 in Wellpinit, Washington
Provider Information
- NPI Number
- 1003963000
- Entity Type
- Organization
- Organization Name
- David C Wynecoop Memorial Clinic
- Primary Specialty
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 6203 AGENCY LOOP ROAD
- City
- Wellpinit
- State
- Washington
- ZIP Code
- 99040-0357
- Phone
- (509) 258-4517
Authorized Official
- Name
- WILLIAM N WILES
- Title
- ADMINISTRATIVE OFFICER
- Phone
- (509) 258-4517
Specialties & Taxonomy Codes
| Specialty |
|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
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