| NPI | 1366785685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W OSBORNE Owner 253-268-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: WA 603211178) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-06-13 |