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 Surgery, Vascular Surgery (Licence: WA 601484763) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2020-08-22 |