| 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 |