NPI | 1023291812 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA KIESSER Claims Biller 360-457-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA OP00001549) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2007-12-14 |