Ellensburg Pediatrics Pllc
NPI #1639105992 in Ellensburg, Washington
Provider Information
- NPI Number
- 1639105992
- Entity Type
- Organization
- Organization Name
- Ellensburg Pediatrics Pllc
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 25, 2006
- Last Updated
- Jul 15, 2014
Practice Location
- Address
- 611 S CHESTNUT ST
- Address 2
- SUITE E
- City
- Ellensburg
- State
- Washington
- ZIP Code
- 98926-4815
- Phone
- (509) 962-5437
Authorized Official
- Name
- ELISE J HERMAN, M.D.
- Title
- OWNER/PROVIDER
- Phone
- (509) 962-5437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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