Memorial Practice Management, LLC
NPI #1548402167 in Selah, Washington
Provider Information
- NPI Number
- 1548402167
- Entity Type
- Organization
- Organization Name
- Memorial Practice Management, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 27, 2009
- Last Updated
- Dec 31, 2009
Practice Location
- Address
- 202 W NACHES AVE
- City
- Selah
- State
- Washington
- ZIP Code
- 98942-1326
- Phone
- (509) 697-5511
Authorized Official
- Name
- JIM W SIMMONS
- Title
- DIRECTOR OF FINANCE
- Phone
- (509) 248-7849
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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