| NPI | 1366610529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KENT CLARK Physician/ LLC Member 206-467-2747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: WA md00014942) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |