| NPI | 1104064641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASWANT G VIRK Physician 253-833-1735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA MD00048708) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |