| NPI | 1124268966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2025-05-05 |