NPI | 1386802007 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK GORDON OCHENRIDER Owner 425-821-4848 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00048527) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2010-06-23 |