NPI | 1386769016 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J CANFIELD Physician 360-533-6038 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP00001772) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |