| NPI | 1033130745 |
|---|---|
| Former Legal Business Name | KITSAP CRITICAL CARE, PLLC |
| Entity Type | Organization |
| Authorized Contact | GRIFFITH BLACKMON Partner 360-479-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 602542295) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-12-15 |