Organization
YAKIMA NEUROSURGERY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM W SIMMONS (CHIEF FINANCIAL OFFICER)
(509) 248-7849
Entity
Organization
Contact information
Practice address
3003 TIETON DR, SUITE 210, YAKIMA, WA 98902-3679
(509) 249-5217
(509) 249-5326
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 249-5042
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MC00019422
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7135916
—
WA
05
—
9060823
—
WA
05
—
9061995
—
WA
Enumeration date
10/09/2006
Last updated
08/13/2008
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