Organization
COWICHE CREEK EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES T MITCHELL (PRESIDENT)
(805) 563-3011
Entity
Organization
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 575-5061
Mailing address
PO BOX 7757, PHILADELPHIA, PA 19101-7757
(805) 563-3011
(805) 564-5087
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128390
—
WA
Enumeration date
05/06/2006
Last updated
04/20/2008
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