| NPI | 1093768194 |
|---|---|
| Doing Business As | MARY BRIDGE EMERGENCY DEPT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GLENN ROBERTSON CEO 253-403-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2026-06-08 |