| NPI | 1174831192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S DAVIDOV President 253-815-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WA MD00034406) |
| Additional Taxonomies | 208D00000X General Practice (Licence: WA MD00034406) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2010-12-16 |