NPI | 1316295512 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA C HOLMES Owner 425-651-4338 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60004074) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WA MD00037841) |
Enumeration Date | 2012-08-17 |
Last Update Date | 2012-09-06 |