| NPI | 1053509968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAR MELDAHL Billing Agent 360-466-2542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP00001383) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA OP00001383) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2008-05-22 |