| NPI | 1194263608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Director Reimbursement Administrati 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2019-01-10 |