Organization
PARKVIEW PEDIATRICS INC
Active
Other names
Parkview Pediatrics and Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL ANN DUDIK BROSS MD (PRESIDENT)
(509) 766-9450
Entity
Organization
Contact information
Practice address
615 S DIVISION ST, MOSES LAKE, WA 98837-3800
(509) 766-9450
(509) 764-9407
Mailing address
615 S DIVISION ST, MOSES LAKE, WA 98837-3800
(509) 766-9450
(509) 764-9407
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
7900988
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7900988
—
WA
Enumeration date
11/08/2006
Last updated
09/30/2009
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