| NPI | 1083866040 |
|---|---|
| Doing Business As | SUNNYSIDE ENT, SUNNYSIDE BONE AND JOINT |
| Entity Type | Organization |
| Authorized Contact | MATHEW MATHIESEN CFO 509-837-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA MD60030905) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: WA MD60307626) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2024-10-10 |