NPI | 1356567879 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT W PRINGLE Physician/Owner 360-428-3068 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: WA 601346872) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2014-12-22 |