| NPI | 1124168778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAKE EDWARD REITER President 360-271-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00023941) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-11-09 |