| NPI | 1255834578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE K BAKER Owner 253-268-3345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: WA OP00001533) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA OP00001533) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-06-11 |