| NPI | 1013954189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PHILLIPS Billing Manager 360-567-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-07-03 |