| NPI | 1114423928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE K BAKER Owner 253-268-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-05-30 |