| NPI | 1033204938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JELMBERG-BRAYTON Business Operations Manager 253-446-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-03-25 |