NPI | 1255740965 |
---|---|
Doing Business As | PROVIDENCE GENETIC RISK ASSESSMENT WEST |
Entity Type | Organization |
Authorized Contact | DONALD W ANDERSON Dir Reimb Reg Strat/Asst Sec Enroll 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
Enumeration Date | 2014-08-06 |
Last Update Date | 2021-01-15 |