| NPI | 1093787715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAVIN M DRY Owner 425-821-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 602552050) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |