NPI | 1184745796 |
---|---|
Entity Type | Organization |
Authorized Contact | FERNETTE FANG EIDE Co President 425-742-2218 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA 39835) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA 39816) |
Enumeration Date | 2007-04-02 |
Last Update Date | 2020-08-22 |