| NPI | 1114334612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYANN PETERSON Office Manager 253-752-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 8579) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |