Im Locum LLC

NPI #1053787747 in Walla Walla, Washington

Provider Information

NPI Number: 1053787747
Entity Type: Organization
Organization Name: Im Locum LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 17, 2015
Last Updated: Aug 17, 2015

Practice Location

Address: 1025 S 2ND AVE
City: Walla Walla
State: Washington
ZIP Code: 99362-4116
Phone: (702) 453-3799

Authorized Official

Name: BRIAN NGUYEN, M.D.
Title: SOLE OWNER
Phone: (714) 230-5151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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