| NPI | 1144708819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BURGESS Medical Billing Supervisor 425-895-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 60054108) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |