| NPI | 1225085749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secreatry For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics |
| 207X00000X Orthopaedic Surgery | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 2080P0202X Pediatrics Pediatric Cardiology | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 2086S0120X Surgery Pediatric Surgery | |
| Enumeration Date | 2006-05-29 |
| Last Update Date | 2025-05-15 |