| NPI | 1235310657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN N DANIEL Physician 253-845-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00037757) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2016-02-16 |