| NPI | 1295334555 |
|---|---|
| Former Legal Business Name | MARY K. SIMONSON, MD |
| Entity Type | Organization |
| Authorized Contact | MARY K SIMONSON Owner 253-759-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |