| NPI | 1194886382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J PFEIFFER Clinic Administrator 425-454-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA MD00014573) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-26 |