| NPI | 1255635843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCHUBERT Owner President 253-344-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD00038272) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-22 |