NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1053397901 | CHOUGH | LEO | Y |   | 660 S COOLIDGE ST | MOSES LAKE | WA | 988371872 |
1568477354 | DEGOOYER | BRETT | REID |   | 660 S COOLIDGE ST | MOSES LAKE | WA | 988371872 |
1811917214 | WHEATON | JOHN | H |   | 1550 S. PIONEER WAY, STE 350 | MOSES LAKE | WA | 98837 |