| NPI | 1194045542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME TILLINGER CEO 425-259-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA 207RE0101X) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 207R00000X) |
| 174400000X Specialist (Licence: WA 207RG0100X) | |
| 174400000X Specialist (Licence: WA 207RC0000X) | |
| 174400000X Specialist (Licence: WA 213E00000X) | |
| 174400000X Specialist (Licence: WA 207Y00000X) | |
| 174400000X Specialist (Licence: WA 291U00000X) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2011-11-23 |