| NPI | 1225230634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER GAYLORD JONES Medical Director 425-255-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WA 600347898) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-06-27 |