| NPI | 1104931039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL E NUDELMAN President 425-455-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 600249764) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2017-05-11 |