| NPI | 1053418137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb A 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601722394) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-02-07 |