NPI | 1154457281 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRILYNN NICKLIN Billing Manager 360-434-3009 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00033163) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2008-06-26 |