Organization Name: | BEGIN AGAIN |
NPI Number: | 1427393511 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAYLE H SMITH (OWNER) |
Mailing Address: | 117 S 2nd St Selah |
State: | WA US |
Postal Code: | 989421307 |
Phone Number: | 5096974404 |
Fax Number: | 5094948479 |
NPI Enumeration Date: | 11/30/2012 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OP60189887 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |