Organization
ELLENSBURG PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE J HERMAN M.D. (OWNER/PROVIDER)
(509) 962-5437
Entity
Organization
Contact information
Practice address
611 S CHESTNUT ST, SUITE E, ELLENSBURG, WA 98926-4815
(509) 962-5437
(509) 962-5438
Mailing address
611 S CHESTNUT ST, SUITE E, ELLENSBURG, WA 98926-4815
(509) 962-5437
(509) 962-5438
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
07/15/2014
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