| NPI | 1225289333 |
|---|---|
| Doing Business As | PMG NW WA MONROE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec For Enrollment/Dir Reimb 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 2471B0102X Radiologic Technologist, Bone Densitometry | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2021-04-29 |