NPI | 1215194774 |
---|---|
Doing Business As | EVERGREEN MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | STEVE BROWN CEO 425-899-2491 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2008-05-21 |
Last Update Date | 2008-06-18 |