| NPI | 1033479746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN W. MUSTO Managing Member 360-331-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00034938) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2014-02-17 |