David C Wynecoop Memorial Clinic

NPI 1003963000 - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X

NPI Details
NPI 1003963000
Enumeration Date 01/04/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM N WILLIAM
Position ADMINISTRATIVE OFFICER
Phone (509) 258-4517
Fax (509) 258-7152
Practice Location
6203 AGENCY LOOP ROAD
WELLPINIT WA, 99040-0357, US
Phone (509) 258-4517
Fax (509) 258-7152
Business Location
6203 AGENCY LOOP ROAD
WELLPINIT WA, 99040-0357, US
Phone (509) 258-4517
Fax (509) 258-7152
Toxanomy
Taxonomy Code 332800000X
License State
License Number
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According to our database, David C Wynecoop Memorial Clinic NPI is 1003963000, taxonomy code is 332800000X David C Wynecoop Memorial Clinic physically located at 6203 Agency Loop Road, Wellpinit WA, 99040-0357. NPI Number 1033115704 has the healthcare provider type.

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1003963000 NPI number is provided on an as is basis without warranty of any kind. 1003963000 is maintained by the National Plan & Provider Enumeration System. The contents of David C Wynecoop Memorial Clinic are for informational purposes only.