Whalio Doctors

NPI 1043602535

Rj Martinez Agency

Organisation Contractor Quincy, WA

Practice location

Address
721 Central Ave S, Quincy, WA 98848-1357
Phone
(509) 860-2534
Fax
(509) 787-2244

Authorised official

Name
Matthew Alexander McColm
Title
Agent
Phone
(509) 293-9051

Registered specialties

Contractor Primary
Other Service Providers Taxonomy 171W00000X Licence 804396 (WA)

Registry record

NPI
1043602535
Entity type
Organization
NPI issued
20 Feb 2015
Record last updated
20 Feb 2015

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.