NPI | 1043586670 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA S WEEDON Office Manager 360-438-2207 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD00023118) |
Enumeration Date | 2012-03-28 |
Last Update Date | 2023-03-07 |