| NPI | 1093816571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL V. PHAN Medical Director 425-673-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA UBI 601860677) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2014-07-02 |