| NPI | 1225335425 |
|---|---|
| Doing Business As | PMG NW WA EVER VASCULAR SURG |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Secretary For Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208600000X Surgery |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-02-24 |
| Last Update Date | 2021-04-16 |