Snake River Adult Medicine LLC
NPI #1548752918 in Clarkston, Washington
Provider Information
- NPI Number
- 1548752918
- Entity Type
- Organization
- Organization Name
- Snake River Adult Medicine LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jun 1, 2018
- Last Updated
- Jan 19, 2022
Practice Location
- Address
- 1625 5TH ST
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-3001
- Phone
- (509) 295-8398
Authorized Official
- Name
- BRIAN FRANCIS CIEZKI, ACNP
- Title
- OWNER/OPERATOR
- Phone
- (509) 295-8398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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