| NPI | 1144069808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHDI FERDOWS Doctor 360-823-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-08-09 |