NPI 1184838377

Upland Edge Medical Group

Organisation Preferred Provider Organization Richland, WA

Practice location

Address: 112 Columbia Point Dr Suite 103, Richland, WA 99352-4390
Phone: (509) 943-7997
Fax: (509) 943-7955

Authorised official

Name: Eduardo a Gembs
Title: Co-Owner
Phone: (509) 943-7997

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MD00042734 (WA)

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Registry record

NPI: 1184838377
Entity type: Organization
NPI issued: 9 May 2007
Record last updated: 4 Oct 2007

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.