| NPI | 1184106437 |
|---|---|
| Doing Business As | ST. JOHN MEDICAL CENTER-PEACEHEALTH THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES METCALF Chief Executive Phmg 360-729-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |