| NPI | 1295371060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RIDGWAY Owner 425-365-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |