Organization
COLUMBIA BASIN NEUROSURGERY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THORNTON THOMAS WILKINSON I MD (PRESIDENT)
(509) 946-4708
Entity
Organization
Contact information
Practice address
800 SWIFT BLVD, STE 240, RICHLAND, WA 99352-3549
(509) 946-4708
Mailing address
PO BOX 1663, WALLA WALLA, WA 99362-0031
(509) 529-1284
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00041443
WA
Other
Enumeration date
03/08/2006
Last updated
10/20/2007
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