| NPI | 1134290182 |
|---|---|
| Doing Business As | MADRONA SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAY A LAWRENCE President 360-385-5444 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-07-08 |