| NPI | 1073784146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH I HUNT Owner 360-537-6391 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WA MD00012628) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |