| NPI | 1306069018 |
|---|---|
| Doing Business As | ST JOSEPH MEDICAL CENTER BURN TRAUMA CLINIC |
| Entity Type | Organization |
| Authorized Contact | MIKE FITZGERALD VP, Financial Ops 253-552-4105 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP30006578) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-02-20 |