NPI 1003963000
David C Wynecoop Memorial Clinic
Practice location
- Address
- 6203 Agency Loop Road, Wellpinit, WA 99040-0357
- Phone
- (509) 258-4517
- Fax
- (509) 258-7152
Authorised official
- Name
- William N Wiles
- Title
- Administrative Officer
- Phone
- (509) 258-4517
Registered specialties
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1003963000
- Entity type
- Organization
- NPI issued
- 4 Jan 2007
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.