| NPI | 1225368285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ERIC KONN President 360-533-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00024563) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |