Pediatric Clinic, Inc., P.s.
NPI #1639287188 in Longview, Washington
Provider Information
- NPI Number
- 1639287188
- Entity Type
- Organization
- Organization Name
- Pediatric Clinic, Inc., P.s.
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Jan 13, 2011
Practice Location
- Address
- 784 14TH AVE
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2315
- Phone
- (360) 425-6117
Authorized Official
- Name
- CINDY A STRANDBERG
- Title
- OFFICE ADMINISTRATOR
- Phone
- (360) 425-6117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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