| NPI | 1053668228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HILGER Chief Accounting Officer 253-280-9501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine Nephrology |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| 2086S0129X Surgery Vascular Surgery | |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |