NPI | 1174851810 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS L SU Physician/Owner 425-227-4341 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WA MD60106870) |
Enumeration Date | 2009-11-18 |
Last Update Date | 2014-12-12 |