| NPI | 1043373905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY G. BASHANDY Physician 360-533-6038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00046771) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-11-27 |