NPI | 1164174124 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA FALL Manager 253-682-6040 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2022-01-21 |
Last Update Date | 2025-03-07 |