| NPI | 1316224884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WYATT BIGGER Pres/Owner 360-683-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WA CH 1899) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |