| NPI | 1124334248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2025-05-08 |