| NPI | 1073726360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYLES GOLDFLIES Plastic Surgeon 253-582-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00046009) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |