| NPI | 1376857615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H BRUNSMAN Owner 425-885-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: WA 60102987) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2011-01-06 |