| NPI | 1396803797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY RICHARD SCHUSTER Physician 206-215-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD0019545) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: WA MD0019545) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2016-11-04 |