Provider First Line Business Practice Location Address:
1100 GOETHALS DRIVE
Provider Second Line Business Practice Location Address:
SUITE D KADLEC CLINIC UROLOGY
Provider Business Practice Location Address City Name:
RICHLAND
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99352
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-942-3165
Provider Business Practice Location Address Fax Number:
509-942-3167
Provider Enumeration Date:
06/30/2009