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Organization

MEMORIAL PRACTICE MANAGEMENT, LLC

Active
Other names
Richard Boyd MD, PS
Organization subpart
No

Provider details

NPI number
Authorized official
JIM W SIMMONS (CHIEF FINANCIAL OFFICER)
(509) 248-7849
Entity
Organization

Contact information

Practice address
1111 W SPRUCE ST STE 30, YAKIMA, WA 98902-3264
(509) 575-1922
(509) 248-2501
Mailing address
PO BOX 2947, YAKIMA, WA 98907-2947
(509) 248-7849
(509) 248-8291

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7055643
WA
Enumeration date
04/01/2009
Last updated
04/01/2009
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