| NPI | 1386869808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J ROBERTS Manager 206-523-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00021170) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00020845) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-05-18 |