| NPI | 1104868462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W DEMPSTER Credentialing Billing Specialist 253-272-5881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: WA MD00040610) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-06-16 |