| NPI | 1366539421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NOSACKA Chief Financial Officer 253-680-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD00029260) |
| 207R00000X Internal Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 213ES0131X Podiatrist, Foot Surgery | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2024-05-16 |