| NPI | 1164635454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK E ZILMER Plastic Surgeon 253-582-8486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA MD00014593) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-03-23 |