| NPI | 1336902345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GLENN ROBERTSON CEO 253-403-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-02 |