Organization
CENTER FOR PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE M. TAYLOR (OFFICE MANAGER)
(509) 783-9540
Entity
Organization
Contact information
Practice address
8108 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-7157
(509) 783-9540
(509) 735-5382
Mailing address
8108 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-7157
(509) 783-9540
(509) 735-5382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00011392
WA
208000000X
Pediatrics Physician
MD00048486
WA
2080P0006X
Developmental - Behavioral Pediatrics Physician
MD00011392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124999
—
WA
05
—
1949908
—
WA
Enumeration date
06/09/2008
Last updated
01/23/2009
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