| NPI | 1134169931 |
|---|---|
| Doing Business As | SURGICAL ASSOCIATES OF EDMONDS |
| Entity Type | Organization |
| Authorized Contact | DAVID G FITZGERALD Claims Manager 206-838-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X (Licence: WA 601484763) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2020-08-22 |