| NPI | 1144290776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH F. JASPER Medical Dirct/Managing Member 253-564-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 601972472) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-03-06 |