| NPI | 1073798930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EUGENE BLATNER Owner 206-241-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: WA MD00030940) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |