| NPI | 1104063932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A DEMOPULOS Owner 206-676-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD0000000000) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |