| NPI | 1154528156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WALLACE STOWE President 360-440-6220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00031142) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2013-09-06 |