| NPI | 1174800593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN TODD DOOMS Physician, Sole Member 425-455-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA 603-140-833) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |