| NPI | 1053641183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON PHILIP ZADINA President & Solo Practitioner 360-350-0281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WA MD 60116602) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2015-02-23 |