| NPI | 1174076210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALAN BAXTER Owner 425-776-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA MD00022150) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |